Mr. Gutteman, a 70-year-old man, met with a bus accident and suffered from an injury in the brain that led to dehydration and excess urination. He now faces the issue of a headache, gnawing epigastric pain, and diarrhea. He was allergic to shellfish and milk. He was given a lactose-free diet upon his responses. Characters in the case: Mr. Gutteman. Adequate information: Diarrhea persisted with increased frequency in spite of consuming a lactose-free diet. The pain was felt in the abdomen. He drank little or no alcohol and had not eaten raw eggs or mayonnaise containing salad. The attack has been thought to be precipitated due to consumption of sandwich and coffee. To determine: The cause of diarrhoea and its diagnosis as well as treatment.

Question

Want to see the full answer?

Answer 1

Question

Chapter 22, Problem 2CCS

Summary Introduction

Case summary:

Mr. Gutteman, a 70-year-old man, met with a bus accident and suffered from an injury in the brain that led to dehydration and excess urination. He now faces the issue of a headache, gnawing epigastric pain, and diarrhea. He was allergic to shellfish and milk. He was given a lactose-free diet upon his responses.

Characters in the case:

Mr. Gutteman.

Adequate information:

Diarrhea persisted with increased frequency in spite of consuming a lactose-free diet. The pain was felt in the abdomen. He drank little or no alcohol and had not eaten raw eggs or mayonnaise containing salad. The attack has been thought to be precipitated due to consumption of sandwich and coffee.

To determine:

The cause of diarrhoea and its diagnosis as well as treatment.

Expert Solution & Answer

Want to see the full answer?

Check out a sample textbook solution

See solution

Students have asked these similar questions

A patient tells the nurse that he has been using an herbal supplement that contains kava for several years to help him to relax in the evening. However, the nurse notes that he has a yellow tinge to his skin and sclera, and is concerned about liver toxicity. The nurse advises the patient to stop taking the kava and to see his health care provider for an examination. What else, if anything, should the nurse do at this time? a )Report this incident to MedWatch. b )Notify the state’s pharmaceutical board. c )Contact the supplement manufacturer. d) No other action is needed.

Mr. Jones is a 69-year-old man who was admitted to the hospital 10 days earlier with a diagnosis of acute diverticulitis. He was given intravenous fluids and empiric antibiotic coverage with ceftriaxone and metronidazole. His antibiotics were stopped after 7 days, and he continued to do well until today, when he developed abdominal pain, fever, and diarrhea. A diagnosis of Clostridium difficile colitis was made, and antibiotic treatment was initiated. Discuss the following questions: What diagnostic test would confirm the diagnosis? What risk factors did Mr. Jones have to acquire a Clostridium difficile infection? Why is oral but not intravenous vancomycin a potential treatment option for this infection? One person from each group should respond to this discussion with a link to their group’s recording and a summary of the discussion that took place.

Latasha’s doctor prescribed Amoxicillin for her to take for 10 days upon her diagnosis of Strep Throat. She began to feel better and stopped taking the Amoxicillin after 5 days. A couple of weeks later, she began to feel ill again and returned to the doctor. This time, the doctor prescribed that she takes the antibiotic Zithromax for 5 days.