A mother calls the pediatric nurse. Her child who is in day care has experienced chronic diarrhea that is watery, greasy, and foul smelling. The child complains of stomachache, has flatulence, and is losing weight

Another child in the day care has the same symptoms, and the mother also has some of these symptoms. The pediatric nurse will suspect which of the following causes of the problem? a. poor diet c. pinforms
b. food poisoning d. giardiasis


D

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A Incorrect. Poor diet will not cause all these symptoms.
B Incorrect. Food poisoning will present with more severe symptoms more quickly.
C Incorrect. Pinforms will present with nocturnal anal itching and sleeplessness.
D Correct. Giardia (a protozoan) ingested, if symptomatic, will present as chronic or relapsing diarrhea (may be watery or greasy, foul smelling), crampy abdominal pain, anorexia leading to weight loss and failure to thrive, and flatulence. Also known as giardiasis.

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