Case
TOD GOUSEAU I HUMAN
CASE STUDY UPDATED
2023-2024 REASON FOR
ENCOUNTER;LEFT KNEE
PAIN ASSURED A+
Clues about the patient's stool for Ms. Schilling - ANSWER ✓✓✓If floating high fat
content, if watery the colon is not able to absorb water, urgency also indicates more
water in stool
Differential diagnoses for Ms. Schilling - ANSWER ✓✓✓Gluten sensitivity, gallstones,
irritable bowel syndrome, pancreatitis maybe (but usually related to alcohol use),
substance abuse--possibly laxative abuse in this case, ulcerative colitis, anxiety/stress,
cancer, giardiasis (from contaminated water)
Significant findings for Ms. Schilling - ANSWER ✓✓✓Low albumin (protein) levels
(malabsorption), gall stones were present but no signs of inflammation, macrocytic
anemia due to low vitamin B12 (malabsorption), positive for glandin IgA and glandin IgG
antibodies (Celiac), positive endomysial Ab screen (Celiac)
TOD GOUSEAU I HUMAN
CASE STUDY UPDATED
2023-2024 REASON FOR
ENCOUNTER;LEFT KNEE
PAIN ASSURED A+
Clues about the patient's stool for Ms. Schilling - ANSWER ✓✓✓If floating high fat
content, if watery the colon is not able to absorb water, urgency also indicates more
water in stool
Differential diagnoses for Ms. Schilling - ANSWER ✓✓✓Gluten sensitivity, gallstones,
irritable bowel syndrome, pancreatitis maybe (but usually related to alcohol use),
substance abuse--possibly laxative abuse in this case, ulcerative colitis, anxiety/stress,
cancer, giardiasis (from contaminated water)
Significant findings for Ms. Schilling - ANSWER ✓✓✓Low albumin (protein) levels
(malabsorption), gall stones were present but no signs of inflammation, macrocytic
anemia due to low vitamin B12 (malabsorption), positive for glandin IgA and glandin IgG
antibodies (Celiac), positive endomysial Ab screen (Celiac)
