Question

MEDICAL HISTORY (Hx) The patient is a female, age 19. She was admitted to the hospital for prolonged diarrhea. The patient is an anthropology major attending school in Madison, WI. She is in a monogamous relationship and is sexually active. She is allergic to wasp and bee venom. She has a family history of Alzheimer’s disease. She lives with one roommate in student housing. She does not own any pets herself; however, she often cares for her roommate’s turtle (a red-eared slider). Over her most recent spring break she took several short trips. First, she and her boyfriend went camping in the woods for a night. A few days later, she and her roommate spent 6 days in Cancun, Mexico, with several other friends. During the last few days of her trip, she began to feel unusually tired and occasionally nauseous, with abdominal cramping and increased flatulence. Following her return to the US, the frequency of her bowel movements increased from roughly once every day, to an average of four times a day. In addition, her bowel movements have become loose, off-colored (pale), and occasionally watery. She has lost roughly 5 lbs since returning from her trip. Neither her roommate nor boyfriend has shown any signs of illness. Which of the following diseases are not very likely candidates for your patient's condition, based upon when your patient first started feeling sick? Remember, you want to consider as many logical possibilities as you can; if you do not have documentation about the time course of the disease, you should not assume that it can be eliminated. Select all choices that are NOT likely based upon the time course of symptoms. salmonellosis, typhoid fever, a form of bacterial gastroenteritis or bacterial-associated diarrhea, a form of hepatitis, viral gastroenteritis, giardiasis, Cyclospora diarrheal infection, tapeworms

Answer 1

Answer:

• The disease seems to be Travellers diarrhoea. It is caused due to contaminated food and water.
• Usually occurs during or after a trip back to home.
• It is not a age related,occupational STI risk disease
• A vector born disease initially affects the skin and then gives out otger symptoms
• It is because of travel exposure, due to new place and having food and water from their.
• There are no chances for risk of immunocomprise in this case as it can be managed effectively with antidiarrhoeal drugs.
• The treatment should have special consideration like
• Stopping diarrhoea
• Fluid loss due to diarrhea regained with IV fluids yo prevent dehydration
• Weight loss to be recovered by diet
• Close monitoring of vitals (BP)
• Stool test to identify any organism

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