William Cope
Yerko Berrocal
Richard Tapping
Anthony Dwyer
Alisha Punjwani
Dean WatkinsTBL Group 10 - E-Team Based Learning’s Updates
Application Question #2.1
Application Exercise 2
A 4-year-old male is brought in to the Emergency Department by his parents with several days of diarrhea. He reports 10-12 watery bowel movements each day. On the day of presentation, he developed bleeding and pain with bowel movements. He vomited once and feels feverish.
Question 1
Which of the following is the best way of distinguishing between a viral and bacterial cause of acute diarrhea?
A.Blood in stool
B.Duration of symptoms
C.History of nausea and emesis
D.Recent antibiotic use
E.Stool culture
INSTRUCTIONS
- Step 1: Answer the question, providing medical reasoning to back up your answer. Your answer should be at least 3-5 sentences in order to explain your reasoning in full. DO NOT REFRESH YOUR BROWSER UNTIL YOU HAVE FINISHED YOUR ANSWER.
- Step 2: Now, refresh your browser, and respond to as many others in your team as you can. Responses should provide evidence of your thinking processes (not just "I agree", or "answer is X"). Regularly refresh your browser as others' responses come in.
- Step 3: Based on the discussion recorded in CGScholar, your team reporter should now enter your team's answer in Benware. The whole-class discussion of this application exercise will take place verbally as usual.
I'm trying to decide between A and E. E makes sense because you should be able to identify the virus from a stool culture but I was more so thinking A because none of the viruses we have talked about cause blood in the stool.
Would stool culture be most definite since you could isolate a causative organisms?
I agree.
I agree.
I agree
I agree
That was kind of my thought process!
That was kind of my thought process!
I was thinking duration of symptoms. Viral infections are quick vs bacterial being longer-lasting.
That's a good point too
I would say stool culture. Because some antibiotics may not work for some bacteria. Duration of symptoms could be, but I feel like there is such a big range that would not make it overly clear. Nausea and emesis can be caused by both. Blood in stool can also be caused by both