Question

(Q001) Scenario Carol is a 68-year-old woman who considers herself "a little plump." She has smoked for most of her adult life and was diagnosed with Type Il diabetes just over a year ago. Carol currently has to take medication to control her blood sugar She is prone to bronchitis and sinusitis, and she regularly takes an antibiotic to treat her respiratory tract infections. After her most recent bout with bronchitis, Carol developed diarrhea, which became increasingly more severe. Signs and Symptoms Carol's diarrhea did not resolve, and instead it became looser and more severe, with crampy abdominal pain. When she noticed there was blood in the toilet, she went to her family physician. He ordered blood tests and a fecal culture, which were collected at the office and sent to a lab for testing. Because the diarrhea was causing extreme fluctuations in her blood sugar levels, she was hospitalized. A colonoscopy of Carol's bowel revealed that she had developed plaques with exudate on the epithelial surfaces of her large intestine.

Answer 1

Based on the given data, it was understood that Carol was having a mutifacet complaints.

Because of smoking habit she was diagnosed with respiratory related and metabolic disorder complications. By considering into her age and all problems, she should be under constant blood sugar monitoring.

Till the control of control diarrhoea, patient should be under constant infusion fluids with metformin dose. If possible administration of DPP-4 inhibitors is a preferable choice.

Since her gut health was very bad, first administration of high dose antibiotics alone has to be stopped and antimotility drugs can be administered for short span of time along with E.coli sachets.

By considering into her age, Ejection fraction has to be considered. If it is considerable no need to go for diuretics.

Since colonoscopy is abnormal further diagnosis has to be suggested to rule out the carcinoma.