Infectious gastroenteritis and enterocolitis Quiz: Ace Your Exams
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A 24-year-old woman presents to the emergency department for evaluation of one week of watery diarrhea without blood or mucus in it. The patient reports associated abdominal cramping and poor oral intake. The patient does not take any medications. Temperature is 37.3°C (99.1°F), blood pressure is 138/91, pulse is 121/min, respiratory rate is 18/min, and oxygen saturation is 99% on room air. Physical examination demonstrates dry mucous membranes and decreased skin turgor. Abdominal examination is significant for mild diffuse tenderness without rebound or guarding. There are no rashes or joint swelling. Rectal examination is negative for hemoccult blood. Intravenous fluids are administered and bloodwork is pending. Which of the following additional historical elements is most likely to be present upon further questioning?
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