Categories: patient case study

Liquid Green stool with mucous in stool analysis explained

Green stool with mucous in my stool examination is a frequently asked question, I must explain this for you by live case study, liquefied green stool is a sharp indicative of diarrhea, in this article we will show a medical report for a patient admitted in a hospital for 3 days to be cured of severe diarrhea of unknown reason, How doctor will use medical examinations and lab tests to diagnose the type of diarrhea

Medical report of an infectious diarrhea case study:

Complain: 57 years old male complaining of dizziness & diarrhea
On Examination: -Pulse: 82 beat /minute Blood pressure: 160/110 mmHg Temperature: 37.5 C RR: 16 cycle /min
Cardiac examination: Clinically free
-Chest examination: clinically free
-Neurological examination: the patient is conscious, alert, well oriented to time, place &person, no motor, no sensory deficits.
-Abdomino-pelvic examination: No masses’ or organomegally.

Investigation tests:
-CBC -Cardiac enzymes -Kidney function & liver function test -lipid function -RBS -stool analysis and urine analysis

Blood test results:
Blood work results show Normal Cardiac enzymes, normal Kidney function & liver function tests, and lipid panel within normal as well as controlled RBS; and other results are reported below.

Complete blood Picture
WBC: 15.0 mil/Cumm (Normal WBC count: 3.5 -11.0)
Differential leucocytes count:
Baso: 0
Eosino: 2
Staff- neutrophils: 4
Seg- neutrophils: 75
Monocytes: 5
Lymphocytes: 14
RBC: 4.2 mil/Cumm (Normal RBC count: 3.80-5.80)
Hb: 11.5 g/dl (Normal Hb level: 11.0 -16.5)
HCT: 40 %
Platelet (PLT): 256 mil/Cumm
Comments: CBC show mild leucocytosis with neutrophilia

Complete urine Analysis:
Pus cells: 8 – 10 /HPF
RBC cells: 5- 7 /HPF
Amorphus urates: (+)

Complete Stool Examination:
Color: Green
Mucous : (++)
Consistency: Liquid
Odor: Offensive
Worms: NIL
Pus Cells: 30-40
R.B. Cells: 4 – 6
Ova: NIL
Larvae: NIL
Undigested food: (+)
Parasites: Entamoeba histolytica Cysts

Blood results interpretation:
All cardiac, liver, renal function tests show normal results; therefore diarrhea associated with liver function disturbances will be neglected.

Complete blood count show High leucocytosis with increased count of segmented neutrophilic cytes which is associated with bacterial infection invasions.

Urinalysis shows no problems may be a reason to cause diarrhea.

Stool analysis show increase in the microscopic count of Pus cells, pus cells is a white blood cells died after invasion of a microorganism as bacteria or Parasites, liquefied green stool and mucous support the diagnosis of infectious diarrhea.

What is diarrhea: Diarrhea is when you pass loose or watery stool, diarrhea is the opposite of constipation.

The expected diagnosis of this case after reading his/her blood work results: it is expected to be infected with intestinal Parasite called entamoeba histolitica cyst which ingest and nourishment on body digested foods in intestines, body’s immunity system response onsuchparasitic invasion by releasing high quantity of specialized blood cells called Neutrophils which invade Entamoeba cysts and kill them by swallow them then converted to died white blood cell which medically called “Pus cell” and exhausted in urine or stool masses.

Lab Recommended for follow up by GIT physician.

Provisional diagnosis: Acute diarrhea with essential hypertension & dizziness. under observation for more investigations.

– Frusimide 20mg 2 AMP IVI
-Ringer infusion 500 CC IVI
-Glucose 5%500 cc IVI
-Zantac (Randitine) ampoule IVI once
-Flagyl(metronidazole) infusion
-The patient improved and was dischareged with:-
-Antinal tab one tab every 8 hour
– Gastrig tab 200mg one tab every 12 hour
-betacerik tab one tab every day.


Published by

Recent Posts

Repeated Kidney Infection Explained

Q:2 kidney infections in a little over a month.? I had no warning signs with either one. I woke up…

4 days ago

Is Bleeding Normal After teeth removed?

Question I got my wisdom teeth removed about 3-4 days ago and whenever I open my mouth a little too…

1 week ago

Does an ANA blood test show the number of white and red blood cells ?

White blood cell counts can be low (leukopenia) due to lupus, immunosuppressive therapy, or the presence of a virus. ... Low red…

2 weeks ago

Does snorting subutex show up on a drug test?

Suboxone is a combination of the drugs buprenorphine and naloxone. Buprenorphine is an opioid partial agonist-antagonist, meaning it mimics some…

3 weeks ago

What Do These Letters Stand For In Blood Tests

The meaning of abbreviations in blood test results and what do letters and medical terms stand for in a blood…

3 weeks ago

CPK Blood Test Meaning Explained

What does CPK mean in a blood test? CPK stands for a blood test called creatine phosphokinase. CPK is an…

4 weeks ago