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Case 2 CC: MK is a 41 yoF presenting for evaluation of recurrent diarrhea. HPI: MK states that 1-2 days per week she will have around 5 BMs with a loose consistency/appearance. MK reports that this has been ongoing for the past 6 months. She states that her on her “good days” she has a normal (not loose) BM once every morning, and this was her baseline prior to the past 6 months for as long as she can remember. MK denies weight loss, dark/tarry stools, FH of colon cancer, personal history of IBD or iron-deficiency anemia. Labs: All of MK’s labs are wnl. PMH: Epilepsy, tobacco abuse, anxiety, obesity (BMI 41) ALL: penicillin, aspirin, watermelon Medications: • Levetiracetam 500mg PO BID • Diazepam 5mg PO QHS prn anxiety Questions 1. MK is desperate for an option to help with her diarrhea. Please provide a recommendation in the form of a prescription (even if it is an OTC product). 2. MK returns to clinic in one month noting that your recommendation has helped a little bit, but she still experiences diarrhea. Based on her symptoms and lack of warning symptoms, you diagnose MK with IBS-D. MK wants to know if
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