Chapter 22, Problem 2CCS

Summary Introduction

Case summary:

Mr. Gutteman, a 70-year-old man, met with a bus accident and suffered from an injury in the brain that led to dehydration and excess urination. He now faces the issue of a headache, gnawing epigastric pain, and diarrhea. He was allergic to shellfish and milk. He was given a lactose-free diet upon his responses.

Characters in the case:

Mr. Gutteman.

Adequate information:

Diarrhea persisted with increased frequency in spite of consuming a lactose-free diet. The pain was felt in the abdomen. He drank little or no alcohol and had not eaten raw eggs or mayonnaise containing salad. The attack has been thought to be precipitated due to consumption of sandwich and coffee.

To determine:

The cause of diarrhoea and its diagnosis as well as treatment.