A 35-year old man who is originally from Palawan, Philippines traveled to South America to live with his partner. 3 days after the man stayed in abroad, he went to a hospital and complained of frequent abdominal cramping and diarrhea. According to the patient, he had no sexual contact with his partner and had not eaten any spoiled food that might cause his diarrhea. His physician ordered a stool examination and the results were normal and no cyst/ trophozoite of a parasite are seen.   A. What might be the possible reason why there are no cysts/trophozoites seen in the stool? Is there a discrepancy? B. What possible actions or additional laboratory tests are needed in this case to rule out the most likely diagnosis if the patient is infected with a parasite? Why? C. Is this caused by a parasitic infection or no? If you were the medical laboratory scientist, how you will handle this situation?

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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A 35-year old man who is originally from Palawan, Philippines traveled to South America to live with his partner. 3 days after the man stayed in abroad, he went to a hospital and complained of frequent abdominal cramping and diarrhea. According to the patient, he had no sexual contact with his partner and had not eaten any spoiled food that might cause his diarrhea. His physician ordered a stool examination and the results were normal and no cyst/ trophozoite of a parasite are seen.

 

A. What might be the possible reason why there are no cysts/trophozoites seen in the stool? Is there a discrepancy?

B. What possible actions or additional laboratory tests are needed in this case to rule out the most likely diagnosis if the patient is infected with a parasite? Why?

C. Is this caused by a parasitic infection or no? If you were the medical laboratory scientist, how you will handle this situation?

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