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
Resource Center
Testimonials
Share this Case Study
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 could be the cause of sudden diarrhea after traveling?
Can lower abdominal cramps and headache be related to digestive issues?
How can type II diabetes affect gastrointestinal symptoms?
Is it necessary to seek medical attention for severe diarrhea?
How common is Traveler's Diarrhea, and what are its symptoms?
Can contaminated street food cause bacterial diarrhea?
What steps should be taken if you suspect you have Traveler's Diarrhea?
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 see that you're experiencing some issues with your digestive system. Can we focus on the diarrhea you're facing today?
Patient
Yes, it's been quite troublesome.
Cody, the AI Doctor
Good to meet you! My goal is to provide you with an accurate assessment and plan. Have you noticed any other symptoms accompanying your diarrhea?
Patient
Yes, I have lower abdominal cramps and feel a bit light-headed.
Cody, the AI Doctor
Anything else? Any fever, nausea, or vomiting?
Patient
No, I haven’t had any fever, nausea, or vomiting.
Cody, the AI Doctor
Have you noticed any blood in your stool?
Patient
No, there's no blood.
Cody, the AI Doctor
How many times a day are you experiencing diarrhea?
Patient
About 4 to 5 times a day.
Cody, the AI Doctor
When did these symptoms start? Did they come on suddenly or gradually?
Patient
They started suddenly, three days ago.
Cody, the AI Doctor
On a scale of 1 to 10, with 10 being extremely severe, how would you rate the severity of your symptoms?
Patient
I’d say they’re a 7 out of 10. Very severe.
Cody, the AI Doctor
Do you have any other gastrointestinal conditions, such as inflammatory bowel disease, irritable bowel syndrome, or any other digestive issues?
Patient
No, I don’t have any of those.
Cody, the AI Doctor
Do you have any medical conditions that I should be aware of?
Patient
I have type II diabetes, but no other conditions.
Cody, the AI Doctor
Got it. Are you taking any medications?
Patient
Yes, I take oral contraceptives and metformin for my diabetes.
Cody, the AI Doctor
Do you smoke or use any illicit drugs?
Patient
No, I don’t smoke or use any drugs.
Cody, the AI Doctor
Can you tell me about any recent activities or travel that might be relevant?
Patient
I was on a cruise ship that made a stop in Mexico. The symptoms started on the day I returned.
Cody, the AI Doctor
Did you eat anything unusual or from street vendors while in Mexico?
Patient
Yes, I did eat some street food in a port in Mexico.
Cody, the AI Doctor
Aside from the diarrhea and abdominal cramps, have you experienced any headaches?
Patient
Yes, I have a frontal headache.
Cody, the AI Doctor
Do you have any children?
Patient
Yes, I have two pre-school age children.
Cody, the AI Doctor
Have any of your family members or anyone else on the cruise been sick with similar symptoms?
Patient
Not that I know of, no one else in my family or on the cruise has mentioned being sick.
Cody's AI Summary
- You are a 22-year-old woman with three days of sudden onset runny diarrhea, occurring 4-5 times per day, accompanied by lower abdominal cramps and a frontal headache. Symptoms are very severe, rated 7 out of 10.
- You also feel a bit light-headed. There is no vomiting, no fever, and no blood in the stool.
- You have type II diabetes managed with metformin and take oral contraceptives.
- You recently traveled on a cruise ship with a stop in Mexico, and your symptoms started on the day you returned. You did consume some street food while in Mexico.
- No other family members or people from the cruise have reported similar symptoms.
Top 3 AI Diagnosis List
Based on the information and conversations with Cody, we have prepared a top 3 AI Diagnosis List.
1. Traveler's Diarrhea( 60 % probability)
This is a common condition affecting travelers who consume contaminated food or water in another country. It often starts suddenly and includes symptoms such as runny diarrhea and abdominal cramps. Your recent travel and consumption of street food in Mexico strongly point to this diagnosis.
2. Bacterial Diarrhea(25 % probability)
This could be due to ingesting food contaminated with bacteria such as Salmonella or Campylobacter. Bacterial diarrhea can cause severe symptoms, but the absence of blood in your stool makes bacterial dysentery less likely.
3. Diabetic Diarrhea(15 % probability)
Type II diabetes can sometimes lead to gastrointestinal symptoms such as diarrhea due to autonomic neuropathy. However, the sudden onset and link to your recent travel make this a less likely cause compared to the others.
Review by Dr Albert DiPiero
Dr. Albert DiPiero
In reviewing the patient’s history and symptoms,
1. Traveler's Diarrhea( 70 % probability)
Based on the provided history, the most likely diagnosis is Traveler's Diarrhea with a probability of 70%. This is consistent with the abrupt onset of symptoms following recent travel and consumption of potentially contaminated street food in Mexico.
2. Bacterial Diarrhea(20 % probability)
The second most likely diagnosis is Bacterial Diarrhea. While bacterial infections like Salmonella and Campylobacter are considered, the absence of fever and blood in the stool makes bacterial dysentery less likely.
3. Diabetic Diarrhea(10 % probability)
remains a consideration due to the patient's type II diabetes. However, the sudden onset and clear temporal relation to the recent travel make it a less probable cause.
Next Steps for Evaluation
Stool Tests: Confirmatory stool tests for bacteria and parasites to establish the causative organism.
Hydration: Emphasize adequate fluid and electrolyte replacement.
Medication: Possible prescription of antibiotics if a bacterial source is confirmed.
Follow-Up: Monitoring and follow-up to ensure the resolution of symptoms and to address any potential complications.
Potential Treatment Modalities
Antibiotics: If tests confirm a bacterial cause, prescribe an appropriate antibiotic.
Rehydration: Oral rehydration solutions or IV fluids if dehydration is severe.
Diet: Suggest a temporary bland diet (BRAT diet) to ease symptoms.
Conclusion
The key considerations for this patient point towards Traveler's Diarrhea, a common affliction among travelers, typically due to contaminated food or water. Confirmatory tests and prompt treatment should mitigate symptoms effectively. Staying hydrated, maintaining blood sugar levels, and monitoring for complications is crucial for a smooth recovery.
Resource Center
Testimonials
The best part about CodyMD, besides the interaction, is the three options CodyMD gives that best fit your symptoms and the percentage each option fits your symptoms. This helps so much when talking to your doctor about your concerns. Try this free service you won't regret it! They also offer a monthly membership.
TrustPilot Review
Just loved getting the peace of mind that I’m not the only one that has had these issues and it’s not as bad as I thought. Still going to get an opinion, but am at ease because of this platform. Will be using again and again.
TrustPilot Review
Dr Cody spot on, better than most Human Drs. Also far more pleasant. Try him, he could better help you understand your issues. He will give you good info for your Drs visit as well.
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