What is the issue?
Let us know in a brief paragraph or sentence why you are flagging this case. Here are some other issues we, at CodeHealth, would like to know about:
A 44 year old male with no significant past medical history presents for evaluation of diarrhea for the past 3 days. He states he has been having approximately 10-12 episodes of watery diarrhea per day. He has associated abdominal bloating. He denies nausea, vomiting, fevers, chills, recent travel and antibiotic use. The patient states he was visiting a sick family member in the hospital several days ago. That family member was admitted for diarrhea and dehydration. On examination his blood pressure is 132/84 and his heart rate is 80. He is afebrile. Mucus membranes appear dry. Cardiopulmonary examination is unremarkable. His abdomen is soft, non-tender to palpation throughout, non-distended, and with normal bowel sounds. Laboratory studies are notable for WBC 13, Creatinine 1.2, and lactate of 1.0. Clostridium Difficile PCR testing is positive. The patient denies ever having this in the past.