Gastrointestinal System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This patient has experienced blood and mucus diarrhea for one week. Examination shows her to be visibly dehydrated, with vital signs suggestive of stage 3 hypovolemic shock. This is a medical emergency. \n\nShe needs urgent fluid resuscitation, with close monitoring. An electrolyte assay and complete blood count (CBC) should be obtained in parallel. This reveals marked hypernatremia, mild hypokalemia, and mild anemia.\n \nGiven her history of ulcerative colitis (UC), a relapse is the probable diagnosis. Other key causes of blood and mucus diarrhea include bacterial and amoebic infections and pseudomembranous colitis. However, the lack of antibiotic usage makes the latter unlikely.\n\nExamination reveals a distended abdomen with sluggish bowel sou"}]}

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