A 30-year-old man has watery diarrhea and abdominal cramps 2 days after starting amoxicillin-clavulanate. Vital signs are normal. NAAT for C. difficil...

Question

A 30-year-old man has watery diarrhea and abdominal cramps 2 days after starting amoxicillin-clavulanate. Vital signs are normal. NAAT for C. difficile is pending. Best immediate step?

Accepted Answer

Avoid antidiarrheals; stop the inciting antibiotic if possible and send stool testing

Answer

Start empiric metronidazole now

Answer

Start empiric vancomycin now regardless of severity

Answer

Give loperamide for symptomatic relief

Answer

No testing necessary for mild symptoms

us-usmle-step-2 MCQ (SBA): C. difficile-Initial Approach

A 30-year-old man has watery diarrhea and abdominal cramps 2 days after starting amoxicillin-clavulanate. Vital signs are normal. NAAT for C. difficile is pending. Best immediate step?