P03.28 An Oldest Cost Effective Method:the Art Of History Taking

Conference: 
Author(s): 
M. Ak1, C. IsÕk Sonmez2, M. Memis3;
1Inonu University Medical Faculty Department of Family Medicine, Malatya, Turkey, 2Atatrk Training and Research Hospital, Ankara, Turkey, 3Inonu University, Malatya, Turkey.
Muharrem Ak
Inonu University Department Of Family Medicine
ElazÕg Yolu 15.Km
Malatya
Zip: 44
Turkey
Email: muharremak@inonu.edu.tr
Phone: +900505 488 1305
Fax: 44280
Text: 
Fifty seven years old female patient admitted to our outdoor patient clinic with the complaint of diarrhoea up to eight times every day for the last eight months. She had consulted many physicians in order to relieve crampy pain over the epigastrium spreading to whole abdomen and diarrhoea. Diarrhoea was watery, explosive in nature and contained no blood, mucous material and no other clue that may be associated with any gastrointestinal system disease. Previous microscopic and culture analysis of stool revealed no abnormality. Upon persistent symptoms and discomfort the patient had been referred to tertiary care centre where colonoscopy had been applied to rule out the malignancy and other diseases of the gastrointestinal tract. Concurrently taken biopsy during colonoscopy revealed no aetiology other than minimal ischaemic changes and eosinophilic infiltration. Patient had been used many drugs including antibiotics to get some degree of relief. The patient was evaluated thoroughly and asked not to use metformin for one week. The patient seen at the end of one week with complete remission from the crampy pain over abdomen and up to eight times explosive diarrhoea per day
Literature: 
P03.28
An Oldest Cost Effective Method:The Art of History Taking