SOLVED3954

A 30-year-old man was brought to the emergency room with sudden, severe, profuse (several liters per day) watery diarrhea, severe vomiting, and abdominal pain. He is a resident of a refugee camp in rural India. On physical exam, you notice that he has severe dehydration, low urine output, generalized mild abdominal tenderness with no signs of peritoneal irritation, stools with the appearance of “rice water” (gray, slightly cloudy fluid with flecks of mucus), with no blood. Stool culture reveals Gram-negative rods with “darting mobility.” O1 antigen is detected, serum chloride levels are decreased, and serum sodium levels are increased.
SCIENCE
HEALTH SCIENCE
NURSING

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