The patient has bloody diarrhea, which basically eliminates all the other answers. Additionally she's from an area with poor water sanitation
In stool O&P, there will be trophozoites with engulfed RBCs (fancy word is erythrophagocytosis).
Finally, the distention and tenderness implies the liver/RUQ issues
fatboyslimAlso, Metronidazole is used to kill trophozoites, while paromomycin is to kill residual cysts in the GI tract (i.e. paromomycin for asymptomatic cyst passers) (UW 1908)+
submitted by โbingcentipede(356)
The patient has bloody diarrhea, which basically eliminates all the other answers. Additionally she's from an area with poor water sanitation
In stool O&P, there will be trophozoites with engulfed RBCs (fancy word is erythrophagocytosis).
Finally, the distention and tenderness implies the liver/RUQ issues