A 62-Year-Old Woman with Diarrhea after Hematopoietic Stem-Cell Transplantation.

Abstract

Morning Report is a time-honored tradition where physicians-in-training present cases to their colleagues and clinical experts to collaboratively examine an interesting patient presentation. The Morning Report section seeks to carry on this tradition by presenting a patient's chief concern and story, inviting the reader to develop a differential diagnosis and discover the diagnosis alongside the authors of the case. This report examines the story of a 62-year-old woman who presented with diarrhea and fatigue 8 weeks after haploidentical hematopoietic stem-cell transplantation. Using targeted questions, physical examination, and diagnostic testing, an illness script for the presentation emerges. As the clinical course progresses, the differential is refined until a final diagnosis is made.