"Issac."  He is a 19year old college student (sophomore) attending at the local university.  Issacis an honor student on scholarship.  He is the first in his family toattend college.  He presents today with diarrhea and urgency, especiallywhen eating.  He occasionally has vomiting.  He reports his stomachhurts frequently.  He is currently not on any medications and is 5'11" and183 lbs.

Issac reports that this semester has been tough - he is abiology major and he has tougher classes this semester as he is taking manyscience classes with labs.  He is also involved in a fraternity as well asseveral extra-curricular activities.  He is frustrated that this GIailment is making it harder to accomplish his busy schedule.

Questions:

1) What is your plan to work up this patient?  Whatfurther questions do you need to ask him?  Is there additional data youneed to gather?

2) What would be your follow up plan for this patient?

3) What future health concerns might this patient need to be aware of?

4) What, specifically nutritionally, should you focus on with this patient? How would you pursue this nutritional work up?