Manuel Gonzalez, a 39-year-old Caucasian male, had a several-day…
Question Answered step-by-step Manuel Gonzalez, a 39-year-old Caucasian male, had a several-day… Manuel Gonzalez, a 39-year-old Caucasian male, had a several-day history of fever and cough, productive of yellow-green sputum, and was brought to the hospital by his partner from their home. He was diagnosed as having pneumonia and was treated with a broad-spectrum antibiotic.Manuel initially improved, and his temperature became normal. However, 4 to 5 days after beginning treatment, he developed watery diarrhea and was again febrile. A stool sample was obtained with the following results:Leukocytes ++Ova and parasites – negative for Giardia and E histolyticaCulture – no Salmonella, Shigella, Campylobacter, Vibrio cholerae, or pathogenic Escherichia coli isolated.Enzyme immunoassay ++ for Clostridium difficile toxinSigmoidoscopy revealed multiple yellow-white plaques overlying a hyperemic colonic mucosa. The patient continued on intravenous antibiotics for pneumonia and began a course of oral vancomycin for C. difficile-induced pseudomembranous colitis. His diarrhea resolved, and he was discharged in good health to return home.Four days post-hospitalization, Manuel returned to your office. He reported a “burning and sharp” abdominal pain in his epigastric area, especially after meals. He decided to see you today because of chest pain upon waking up this morning. What other differential diagnoses (name at least two) you will consider. Please provide the rationale based on the etiology and pathological sequelae (cellular level). Health Science Science Nursing NUR 2000 Share QuestionEmailCopy link Comments (0)


