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What additional assessment information should be obtained? Travel history, diet, did diarrhea start in response to antibiotic treatment, where patient lives. Family history of thyroid disease IBS, and IBD. What the patient typically eats if certain foods make it worse. Does the patient still have their gallbladder? Blood culture, stool sample, CBC, CMP, C. diff test (Dunphy et al., 2019). What are the differential diagnoses for this patient? Antibiotic induced diarrhea (possibly C. diff), IBS, IBD, Ischemic bowel disease, and hyperthyroidism (Norris, 2019). Since the patient is on an antibiotic before her diarrhea began it is likely the antibiotic eliminated the normal flora in her gut, this paired with her family also having gastroenteritis the patient may need to try a different antibiotic (Woo & Robinson, 2019). What management will be recommended for the patient? Stop current antibiotic and start Vancomycin if not contraindicated. I would recommend hospitalization to manage hydration even though patient is not hypertensive at this time, since patient appears dehydrated and has already fallen, possibly due to a hypotensive episode (Dunphy et al., 2019). What patient education should be included? Try drinking Gatorade or Pedialyte and water to maintain hydration. When patient can tolerate oral intake patient should start a bland diet of boiled starches and cereals such as potatoes, pasta, rice, and oatmeal. Once the patient starts to form solid stools again patient can advance diet as tolerated (Dunphy et al., 2019). Please include 1 reference
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