Question

MEDICAL HISTORY (Hx) The patient is a female, age 19. She was admited to the hosptal for proionged darrhea. The patient is an anthropology major attending school in Madson, 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 sider). Over her most recent spring break she took several short trips. First, she and her boytriend went camping in the woods for a night. A few days later, she and her roommate spent 6 darys in Canoun, Mexico, with several other friends. During the last tew days of her trip, she began to feel unusually tired and occasionaly nauseous, with abdominal cramping and increased fatulence. Following her return to the US, the frequency of her bowel movements increased from roughly onoe every day, to an average of tour times a day. In addition, her bowel movements have become koose, oft-colored (pale), and oocasionally watery She has lost roughly 5 bs since reburning Patient Intake Form--Medical History (Hx) Risks, Predispositions, Notes of Concern Name: LacetnSex F Age 19 Occupation Student Social History Relationship status: Monoganous(sexuallyactive) Reproductive status: Not pregnant/No children Lifestyle factors Age-related risk of disease? Madison, w Occupational risk of disease? Risk ofsexually transnitted infection (ST)? Cares for hurtle No drugs ofabuse Risk ofrector bornedisease? Risk of drug-related disease exposure 6 days in Cancun, Mexiceo Family History Risk of genetio/ fanilisl disease? disease? from her trigp Neither her roommate nor beyfriend has shown any signs of lness Medical History Allergies: Current medications None Pesenting symptoms Prequent and prolonged watery diarhe Wasp venom Special concerns for treatment? Click hero to access Diseases in Foous Tables 25.2, 25.3 and 25.4, and 25.5. Weghtloss

Answer 1

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