Reference no: EM133491827
Discussion Post: Diarrhea and Differential Diagnoses
Case: Chief Complaint
(CC) "I am here today due to frequent and watery bowel movements"History of Present Illness (HPI)A 37-year-old European American female presents to your practice with "loose stools" for about three days. One event about every three hoursPMHNo contributoryPSHAppendectomy at the age of 14Drug Hx
No medsAllergiesPenicillinSubjectiveFever and chills, Lost appetite Flatulence No mucus or blood on stoolsPEB/P 188/96; Pulse 89; RR 16; Temp 99.0; Ht 5,6; wt 110; BMI 17.8Generalwell-developed female in no acute distress, appears slightly fatigued HEENTAtraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous. NeckSuppleLungsCTA AP&L CardS1S2 without rub or gallopAbdpositive bowel sounds (BS) in all four quadrants; no masses; no organomegaly noted; diffuse, mild, bilateral lower quadrant pain noted Mild diffuse tenderness.GU Non contributoryExtno cyanosis, clubbing or edemaIntegumentgood skin turgor noted, moist mucous membranesNeuroNo obvious deformities, CN grossly intact II-XII.
Question A. What other subjective data would you obtain?
Question B. What other objective findings would you look for?
Question C. What diagnostic exams do you want to order? State your rationale for each supported by academic resources.
Question D. Name 3 differential diagnoses based on this patient presenting symptoms.
Question E. Give rationales for each differential diagnosis.