He says he does drink wine with his meals, but no other forms of alcohol. He occasionally smokes his pipe, but is not a cigarette smoker. At the end of your interview he has another bowel movement and you take the opportunity to collect a stool sample. Upon physical exam you note his temperature is at 101.5 F and he is perspiring. He shivers occasionally.
EENT exam is unremarkable.
His lymph nodes are not swollen and there is no sign of physical trauma. There is diffuse tenderness over his stomach upon palpation. There is also abdominal distension, and it seems hyper motile upon auscultation. You order tests, and then order IV fluids. Based on the lab data you decide to use oral Erythromycin at 250mg, four times daily.