Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a history of chronic, intermittent diarrhea characterized by loose, non-bloody stools. Symptoms are associated with recurrent abdominal cramping, bloating, and flatulence. No recent travel history or known sick contacts reported. Stool studies positive for Dientamoeba fragilis trophozoites. Symptoms have persisted for [Duration], significantly impacting quality of life.
Clinical Examination Findings
General: Patient appears in no acute distress. Abdomen: Soft, non-distended, with mild diffuse tenderness to palpation in the periumbilical and lower quadrants. No rebound tenderness or guarding. Bowel sounds are hyperactive. No hepatosplenomegaly or palpable masses.
Treatment Protocol
Initiate treatment with Paromomycin [Dose] mg orally TID for 7 days OR Iodoquinol [Dose] mg orally TID for 20 days. Advise patient on strict hand hygiene and sanitation to prevent reinfection. Follow-up stool examination scheduled for [Date] to confirm clearance of the parasite.