Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a history of relapsing, non-bloody, watery diarrhea. Symptoms include significant fatigue, anorexia, abdominal cramping, and bloating. Patient reports a cyclical pattern of improvement followed by symptom recurrence. No recent travel to endemic areas or consumption of high-risk fresh produce noted.
Clinical Examination Findings
General: Patient appears mildly dehydrated, alert and oriented. Abdomen: Soft, non-distended, hyperactive bowel sounds, diffuse mild tenderness to palpation, no rebound or guarding. Mucous membranes: Slightly dry. Skin: Normal turgor. Vital signs: Stable, afebrile.
Treatment Protocol
Initiate Trimethoprim-Sulfamethoxazole (TMP-SMX) 160/800 mg BID for 7-10 days. Advise adequate hydration with oral rehydration solutions. Monitor for potential drug hypersensitivity. Follow-up stool O&P (Ova and Parasites) with modified acid-fast staining to confirm clearance.