Case Study Of Patient Complaining Of Watery Diarrhea Discussion

Week 5 Case 3: A 22-year-old female consulted you via telehealth and complains of 3 days watery diarrhea with 7-8 stools per day, generalized weakness, muscle pains and low grade fever. She recently arrived from her travel to Southeast Asia but has been on home quarantine for the last 5 days since her arrival. Other family members who travelled with her are asymptomatic.

For the case you have chosen, post to the discussion: Case Study Of Patient Complaining Of Watery Diarrhea Discussion

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Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.
In SOAP format, list:
Pertinent positive findings that validate your main diagnosis
Pertinent negative findings that make you think of other differential diagnoses
Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing)Case Study Of Patient Complaining Of Watery Diarrhea Discussion, health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.
Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.
Initial post must have a minimum of 300 words, excluding references.

Case 3: Discussion

A 22-year-old female consulted you via telehealth and complained of 3 days of watery diarrhea with 7-8 stools per day, generalized weakness, muscle pains, and low-grade fever. She recently arrived from her travel to Southeast Asia but has been in home quarantine for the last five days since her arrival. Other family members who traveled with her are asymptomatic.

Pertinent Questions

Which places did you visit while in Southeast Asia?
What foods or drinks did you take?
Have you used any antibiotics since the onset of your symptoms?
Is your situation getting better or worse?
Have you noticed traces of blood in our stools?
Have you been able to keep down certain drinks and food? Case Study Of Patient Complaining Of Watery Diarrhea Discussion

Physical Exam Elements

General Appearance
Vital Signs
Skin
HEENT
Abdomen
Neurologic

Further Testing

Stool culture
Abdominal CT

Pertinent Positive Findings

– The patient complains of watery diarrhea with 7-8 stools within 24 hours, generalized weakness, and fever, symptoms that show the presence of Travelers’ Diarrhea (TD). Dunn & Okafor (2022) argue that the onset of TD’s symptoms occurs within one to two weeks after arrival. TD is associated with several (three or more ) loose stools in 24 hours, abdominal cramping, and fever.

– Also, TD is associated with dehydration, which contributes to muscle cramps, and can be identified through capillary refill and skin turgor.

Pertinent Negative Findings

– The IBS (irritable bowel syndrome) is absent in the patient since the symptoms of TD are suggestive of IBS, such as diarrhea and muscle pain (Moayyedi et al., 2019)Case Study Of Patient Complaining Of Watery Diarrhea Discussion. This finding contributes to considering other differential diagnoses.

Treatment Plan

Dunn & Okafor (2022) state Bismuth subsalicylate two tables x 4 per day can be used for prophylaxis because it can reduce the TD’s incidence by half. Also, Rifaximin will be used for chemoprophylaxis because of its minimal side effects and minimal absorption.

Diagnostics

Ischemic colitis
Pseudomembranous colitis
Radiation-induced colitis
Food poisoning

Health Education and Lifestyle Changes

The health education will include counseling the patient on risk reduction, including frequent hand washing, avoiding ice and tap water, avoiding unpeeled fruits and leafy vegetables, and avoiding street food. Also, the health education will cover avoiding dehydration and emphasize the importance of staying hydrated by drinking fluids, such as weak tea, fruit juices, sports drinks, and decaffeinated soda. Also, the patient will be advised to avoid caffeine, dairy products, and alcoholic drinks. Additionally, the patient will be advised to consider a diet with bland cereals, salted crackers, applesauce, bananas, rice, plain noodles, and potatoes (Moayyedi et al., 2019)Case Study Of Patient Complaining Of Watery Diarrhea Discussion. This diet will assist in improving the patient’s current condition.

Preventive Care

Avoid drinking tap water and using ice in beverages
Choose drinks and food carefully
Frequent washing of hands
Drink lots of fluids
Only take antibiotics when needed

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Follow-up Visit

The next virtual meeting will be arranged between the healthcare provider and the patient after one week to see the progress of the patient. Also, the patient will be notified to adhere to medication until the next meeting. Considerably, if there is an emergency, the healthcare provider will provide the patient with information on how to get immediate medical assistance.

References

Dunn, N., & Okafor, C. N. (2022). Travelers diarrhea. In StatPearls [Internet]. StatPearls Publishing.

Moayyedi, P., Andrews, C. N., MacQueen, G., Korownyk, C., Marsiglio, M., Graff, L., … & Vanner, S. (2019). Canadian Association of Gastroenterology clinical practice guideline for the management of irritable bowel syndrome (IBS). Journal of the Canadian Association of Gastroenterology, 2(1), 6-29. Case Study Of Patient Complaining Of Watery Diarrhea Discussion

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