case 6--last one--getting hungry

[md90]

A 36-year-old woman from Georgia presents with abdominal pain and diarrhea of 3 days' duration. She does not complain of nausea, vomiting, or fever. She has no sick contacts or significant travel history. A complete blood count is performed, and results are normal except for elevated eosinophils at 13%. A stool sample is obtained, which reveals larvae. Further questioning reveals that the woman frequently gardens in her backyard while barefoot.

1. What is the most likely diagnosis?
2. How is this agent transmitted, and how does it cause illness?
3. What other two organisms demonstrate the same life cycle in humans?
4. What signs and symptoms are commonly associated with this condition?
5. What tests can help confirm the diagnosis?
6. What treatments are most appropriate for this condition?

[MDiva]

1. Strongyloid worms
2. walking thru the garden in bare feet
3. ?
4. GI symptoms
5. check stool for eggs or larvae
6. ?

[superoxide]

A 36-year-old woman from Georgia presents with abdominal pain and diarrhea of 3 days' duration. She does not complain of nausea, vomiting, or fever. She has no sick contacts or significant travel history. A complete blood count is performed, and results are normal except for elevated eosinophils at 13%. A stool sample is obtained, which reveals larvae. Further questioning reveals that the woman frequently gardens in her backyard while barefoot.

1. What is the most likely diagnosis?
2. How is this agent transmitted, and how does it cause illness?
3. What other two organisms demonstrate the same life cycle in humans?
4. What signs and symptoms are commonly associated with this condition?
5. What tests can help confirm the diagnosis?
6. What treatments are most appropriate for this condition?

1. hook worm
2. through the skin in the feet/invades the intestinal mucosa
3. no idea:confused:
4. bleeding in stool/GI bleeding, anemia
5. occult blood in stool
6. mebendazole

[MDiva]

5. Crap--you mentioned the stool sample in the question! Test is string test. Pt swallows string which catches hold of the larvae that are crawling up the throat prior to getting swallowed down in to the GI where they do further damage.