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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diarrhea, Green Stool, Stool Exam Showed Yeast. Differential Diagnostic For This?

hi iam an intern,last night we have a patient(43 years old) that she was hospitalized because of diognostic D&C and just acouple of hour after that her temperture was 39.5 c, at mid night she had diarrhea that it was completely green!and in her stool exam we found yeast ,could you give me some differential diognostic for this green stool and yeast please?
Thu, 21 Mar 2019
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General Surgeon,  's  Response
Hi,

Nice to know that you are an intern.
Green stool with fever is indicative of an intestinal bacterial infection. Yeast can be found in most stool sample.
And Negative tests do not rule out infection in many a cases like gram negative bacterial infection and immunity of the person.
Hence clinical evaluation, an actual examination and then correlation with the reports can help to get a proper diagnosis and carry on the medications on this basis.
Blood tests will reveal if there is any raised WBC count indicating bacterial infection.
Get her started on a proper antibiotic active against intestinal infection, Metronidazole as per body weight.
Supportive treatment in the form of intravenous fluids and electrolytes.
You have not mentioned whether the problem started on admission or after diagnostic D & C.
If this has started after D & C then complication of uterine perforation must be born in mind, invested accordingly and treated so.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant,
General Surgeon
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Diarrhea, Green Stool, Stool Exam Showed Yeast. Differential Diagnostic For This?

Hi, Nice to know that you are an intern. Green stool with fever is indicative of an intestinal bacterial infection. Yeast can be found in most stool sample. And Negative tests do not rule out infection in many a cases like gram negative bacterial infection and immunity of the person. Hence clinical evaluation, an actual examination and then correlation with the reports can help to get a proper diagnosis and carry on the medications on this basis. Blood tests will reveal if there is any raised WBC count indicating bacterial infection. Get her started on a proper antibiotic active against intestinal infection, Metronidazole as per body weight. Supportive treatment in the form of intravenous fluids and electrolytes. You have not mentioned whether the problem started on admission or after diagnostic D & C. If this has started after D & C then complication of uterine perforation must be born in mind, invested accordingly and treated so. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant, General Surgeon