Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with persistent, watery diarrhea lasting >14 days. Reports associated symptoms including abdominal cramping, low-grade fever, and occasional nausea. Denies gross blood or mucus in stool. No recent travel to endemic areas or known sick contacts reported. Stool studies positive for EAEC.
Clinical Examination Findings
General: Patient appears mildly dehydrated, alert and oriented. Abdomen: Soft, non-distended, hyperactive bowel sounds, diffuse mild tenderness on deep palpation, no rebound or guarding. Mucous membranes: Slightly dry. Skin: Normal turgor. Vital signs: Stable, afebrile at time of exam.
Treatment Protocol
Plan: 1. Oral rehydration therapy (ORT) with electrolyte solutions. 2. Empiric antibiotic therapy (e.g., Ciprofloxacin or Azithromycin) as per sensitivity profile. 3. Zinc supplementation to reduce duration. 4. Avoid anti-motility agents. 5. Follow-up in 48-72 hours if symptoms persist.