Endocrine Case Report: Diarrhea and Weight Loss


History of Present Illness:

A patient in their mid-70s with a history of hypothyroidism presents to the hospital with 3 weeks of nausea, vomiting, and diarrhea without blood but with a 30-pound weight loss. Just recently he noticed low-grade fevers up to 100.2 and intermittent mild epigastric pain. He denies any recent antibiotics or recent travel

Vital Signs and Physical Exam:

Vital signs are normal. Physical exam is also normal except for abnormalities noted below in initial diagnostic testing.

Initial Diagnostic Testing:

  • CBC: normal except for WBC = 12.3
  • Chem-7: normal except for Alk Phos 92, other LFT’s normal


Abdominal imaging of a patient featured in this case report. | Credit: Brady Pregerson, MD

Credit: Brady Pregerson, MD

What is the most likely diagnosis?

Related Videos
Robert Rosenson, MD | Credit: Cura Foundation
Deepak Sambhara, MD | Image Credit: American Society of Retina Specialists
Optimizing Diabetes Therapies with New Classifications
Anthony Lembo, MD | Credit: Cleveland Clinic
Jonathan Barratt, MD | Credit: IgA Nephropathy Foundation
Fadi Fakhouri, MD, PhD | Credit: University of Lausanne
Helen Colhoun, MD | Credit: University of Edinburgh
Digital illustration of kidneys | Credit: Fotolia
Vlado Perkovic, MBBS, PhD | Credit: George Institute of Global Health
© 2024 MJH Life Sciences

All rights reserved.