Girl Initially Presents Explained for Students (Easy Guide)

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Original Question

7 yrs old girl. initially presents to her pediatrician with complaints of fatigue abdominal cramping and diarrhoea. the pediatrician diagnoses viral gastritis and advises her mother to limit her diet to bland food. she recovered after three days but experienced a relapse after eating a grilled cheese sandwich and mixed fruit at school. she continues to have stomach cramping and diarrhoea prompting her mother to maintain her on a diet of soups and liquids for two weeks. when she appears to be improving, her mother reintroduces other foods, leading to a relapse with weight loss and d=tenderness in the stomach. t is re-evaluated by her doctor, who orders additional blood work to further investigate her symptoms inbestigation hb, hematocrit, platelet slightly low sodium pottassium calcium and albumin low Critically analyse this case, provide a diferential diagnosis and justify your choices. Discuss the immunopathogenesis of the most likely condition, suggest further diagnostic tests to confrm your provisional diagnosis, and propose a treatment plan.

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