Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 36: A 74-Year-Old Man with Refractory Diarrhea (continued)

John Clarke, MD

A 74-year-old man presented to the emergency room with a 3-week history of diarrhea, weakness, malaise, and confusion. Bowel movements were reported as watery and foul smelling, occurring immediately after meals. He denied any urgency or incontinence, but reported occasional nocturnal symptoms. There was no report of oily, fatty stools. Symptoms began 1 week after a trip to Memphis, Tennessee, during which he sampled a variety of cuisines. He reported a 10-lb weight loss since the onset of symptoms. His wife noted difficulty speaking, distractibility, fatigue, confusion, and irritability…
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