A 30-year-old woman is evaluated for a 2-month history of diarrhea with three to five loose stools per day. Presentation: She has mild abdominal cramps, bloating, intermittent nausea, and mild anorexia that has resulted in the loss of 2.3 kg (5.0 lb). History: She has had no fever or blood in the stool. She works in a day care center and has not traveled recently or had exposure to antibiotics.
She is otherwise healthy and takes no medications. Physical examination: Temperature is 37.0 °C (98.6 °F), blood pressure is 112/74 mm Hg, and pulse rate is 70/min. The abdomen is soft with normal bowel sounds and mild distention but no tenderness. Source: American College of Physicians, MKSAP challenge *This case is from Docplexus editorial team for educative purpose only
