Table of Contents
Common Questions
Chat with CodyMD
Cody's Chat with Patient
Cody's AI Summary
Top 3 AI Diagnosis List
Review by Dr Albert DiPiero
Dr. DiPiero Video Guide to this Case Study
Resource Center
Testimonials
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Case Study
Meet your host
Albert DiPiero, MD MPH FACP
I am a co-founder and the Chief Medical Officer at CodyMD and your host for this edition of Cody Grand Rounds. I have been a practicing physician and faculty member at medical schools for over 26 years.
About The AI Doctor Case Study
CodyMD is a partnership between Human Doctors and AI Doctors. Cody is an AI Doctor who helps thousands of people every day. At each Cody Grand Rounds, I select a real case and review it with Cody, the AI Doctor.
Each case is based on a real patient but has been modified to maintain privacy and to emphasize certain teaching points.
Common Questions
What causes sudden nausea and diarrhea?
Can stress lead to vomiting and abdominal pain?
What should I eat if I have nausea and diarrhea?
How do I know if my condition is serious?
Can I manage viral gastroenteritis at home?
What over-the-counter medications can help with nausea and diarrhea?
What is the role of AI doctors in diagnosing gastrointestinal symptoms?
Chat with CodyMD
Click the button below to initiate a conversation with CodyMD, your AI Doctor.
Cody's Chat with Patient
Below is a conversation transcript between the patient and our AI Doctor CodyMd.
Cody, the AI Doctor
Hello! I’m Cody, your AI Doctor trained by human doctors.
Patient
I'd like to figure out what I'm sick with.
Cody, the AI Doctor
So you want to focus on identifying your symptoms or suspected condition today, is that correct?
Patient
Yes.
Cody, the AI Doctor
Great! My goal is to provide you with an accurate assessment and plan. Let's talk about your concerns regarding identifying symptoms or suspected condition. Can you describe any specific symptoms you're experiencing? For example, are you feeling pain, fatigue, or any unusual sensations in your body?
Patient
2 days ago, I woke up extremely nauseous, had diarrhea, and vomited during the day. I then had the chills and a low-grade fever. That night, I woke up and vomited. Yesterday I just felt nauseous and had a hard time eating. I woke up at 11:30 pm last night feeling very nauseous but did not vomit. Today I woke up and felt feverish. I only had a temperature of 99F and was nauseous. It's difficult to eat, but now I've finally eaten a bit.
Cody, the AI Doctor
Got it. Have you been diagnosed by a health professional with any medical conditions?
Patient
No.
Cody, the AI Doctor
Could you please share how old you are?
Patient
I am 31 years old.
Cody, the AI Doctor
Ok. Can you please tell me your sex?
Patient
Female.
Cody, the AI Doctor
Do you have any belly pain?
Patient
Yes, I have pain in the mid lower belly. It is an achy, crampy pain.
Cody, the AI Doctor
On a scale of 1 to 10, how severe would you rate your nausea and gastrointestinal symptoms right now, where 1 is no problem and 10 is very severe?
Patient
6.
Cody, the AI Doctor
How have your symptoms been changing over the past few days?
Patient
They vary depending on time of day but are a little better today.
Cody, the AI Doctor
Have you noticed any specific activities or positions that make your nausea or gastrointestinal symptoms feel better or worse?
Patient
Lying flat makes it worse.
Cody, the AI Doctor
Is there any chance you could be pregnant?
Patient
Very unlikely. I have an IUD, and I just finished my period 2 days before all this started.
Cody's AI Summary
- You are a 31-year-old woman experiencing extreme nausea, diarrhea, vomiting, chills, and a low-grade fever over the past two days.
- Your symptoms vary depending on the time of day and have slightly improved today.
- You have abdominal pain in the middle lower abdomen that worsens when lying flat.
- It is unlikely you are pregnant due to having an IUD and recently completing your period.
Top 3 AI Diagnosis List
Based on the information and conversations with Cody, we have prepared a top 3 AI Diagnosis List.
1. Viral Gastroenteritis(70 % probability)
A common infection causing inflammation of the stomach and intestines, leading to nausea, vomiting, and diarrhea.
2. Food Poisoning(20 % probability)
Illness caused by consuming contaminated food, often resulting in gastrointestinal symptoms like nausea and diarrhea.
3. Acute Appendicitis(10 % probability)
Inflammation of the appendix causing abdominal pain, nausea, and vomiting, though less likely given your symptoms.
Review by Dr Albert DiPiero
Dr. Albert DiPiero
The patient's presentation is indicative of an acute gastrointestinal disturbance, with viral gastroenteritis and food poisoning being the foremost possibilities on the differential. The rapid onset of symptoms following recent food consumption supports the probability of food poisoning. However, the consistency of gastrointestinal upset alongside mild fever and achy abdominal pain aligns more with viral gastroenteritis:
1. Viral Gastroenteritis(60% probability)
While likely due to symptomatology, the absence of severe dehydration or high fever slightly diminishes the probability.
2. Food poisoning(30% probability)
Symptom onset post-consumption makes a foodborne illness plausible, particularly without blood in stools.
3. Acute Appendicitis(5% probability)
Decreased further to 5%. The lack of localized right lower quadrant pain or significant leukocytosis typically expected in appendicitis reduces its likelihood.
Next Steps for Evaluation
Diagnostic Testing:
Blood Tests: Complete blood count (CBC) to check for leukocytosis or signs of infection.
Stool Examination: To detect the presence of pathogens typical of food poisoning or viral gastroenteritis.
Ultrasound or CT Scan: If symptoms persist, imaging may be required to rule out appendicitis or other abdominal pathology.
Potential Treatment Modalities
The most likely diagnosis of viral gastroenteritis is typically self-limiting. Treatment includes:
Hydration: Oral rehydration solutions to prevent dehydration.
Dietary Adjustments: Bland diets are advised, avoiding dairy, caffeine, and fatty foods.
Medications: Use of antiemetics for nausea and possibly antidiarrheal medications like loperamide, if necessary.
Conclusion
In this case study, symptom consistency suggests a viral or foodborne gastrointestinal illness, with management focused on symptomatic relief and monitoring. Given the improvement trend, continued observation with adequate hydration is essential, but any escalation in symptoms warrants further medical evaluation.
Dr. DiPiero Video Guide to this Case Study
Resource Center
Nausea, Vomiting, and Diarrhea Resources
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