Resistant

Gastrointestinal System


Step 1: View Clinicals

{"ops":[{"insert":"A 30-year-old woman presents with repeated episodes of watery diarrhea for almost one and a half years, in association with flatulence, and abdominal discomfort following meals. Further questioning reveals a weight loss of 10kg during this time period.\n\nHer medical and family histories are unremarkable, while she neither smokes nor drinks. There is no history of recent travel, or drinking unfiltered water or unpasteurized milk.\n\nA sample of stool is found to be frothy and foul smelling; they float when mixed with water. Microscopy shows no evidence of amoeba, ova, or cysts, and the stools test negative for blood. The fecal osmolar gap is 95 mOsm\/kg.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-106_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Anti-TTG-IgA test
2. Upper GI Endoscopy + Biopsy
3. Stool chymotrypsin activity
4. Colonoscopy

Want to continue playing?

Open your Clinical Odyssey account today.


Enjoy unlimited access to 600+ simulations.
Safely improve your skills, anytime and anywhere.
Get answers to your follow-up questions from practicing physicians.