Author: Alex Oram / Editor: Steve Corry-Bass / Codes: GC5, GP5, SLO1 / Published: 13/04/2021
A 65-year-old lady presents after developing diarrhoea post antibiotics. She describes 3-4 episodes of diarrhoea each day for the past 3 days, after the antibiotics had finished. She recently had episodes of dysuria and was treated for a UTI by her GP with ciprofloxacin for 5 days due to previous resistances in UTI treatment. There is no blood in the stools and there has been no other changes to her diet. She is struggling to drink fluids due to nausea but has had no episodes of vomiting. She feels weak and is struggling.
Past History – Hypertension, Hiatus hernia
Medication – Amlodipine, Omeprazole
Observations:
RR21, Sats 100% (Room Air)
BP 95/50, HR 120,
Temp 37.9.
She has slightly cool peripheries.
5 responses
Useful case highlighting the unwelcome side effects of therapies initiated in our EDs
Common presentation, often over diagnosed and investigated. Twas a good reminder if there are no red flags and clear history – Abx associated diarrhea is the culprit.
CT Abdomen should be considered still in this patient.
very practical case
Great Revision