Podcast #1 – Sick Traveler
A 23-year-old woman comes to the GP because of a 3-day Hx of increasing flatulence, abdominal bloating, and diarrhea 6-12 times daily despite loperamide therapy. The stool is foul-smelling, watery, and non-bloody; she says it is usually brown and sometimes green. She is afebrile. She recently returned from a study abroad program in the Middle East. Her temperature is 98.8F, HR 85, RR 17, BP 115/75. Abdominal exam shows mild distension and tenderness. There is no rebound or guarding. Bowel sounds are normal. Rectal exam shows no abnormalities. Fecal occult blood is negative. What’s the most…
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