A obese African American male patient presents to his.docx
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A 65-year-old obese African American male presented with crampy left lower quadrant pain, constipation, and fever. He had a history of chronic inflammatory bowel disease and diverticulitis treated with bowel rest and antibiotics. Despite his risk factors like sedentary lifestyle and low fiber diet, he had refused colonoscopy until now. The colonoscopy revealed polyps and adenocarcinoma of the colon.
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A 65-year-old obese African American male patient presents to his HC.docx
A 65-year-old obese African American male patient presents to his HCP with crampy left lower quadrant pain, constipation, and fevers to 101˚ F. He has had multiple episodes like this one over the past 15 years and they always responded to bowel rest and oral antibiotics. He has refused to have the recommended colonoscopy even with his history of chronic inflammatory bowel disease (diverticulitis), sedentary lifestyle, and diet lacking in fiber. His paternal grandfather died of colon cancer back in the 1950s as well. He finally underwent colonoscopy after his acute diverticulitis resolved. Colonoscopy revealed multiple polyps that were retrieved, and the pathology was positive for adenocarcinoma of the colon.
Develop a 1- to 2-page case study analysis in which you:
Explain why you think the patient presented the symptoms described.
Identify the genes that may be associated with the development of the disease.
Explain the process of immunosuppression and the effect it has on body systems.
.
Develop a 1- to 2-page case study analysis in which youEx.docx
Develop a 1- to 2-page case study analysis in which you:
Explain why you think the patient presented the symptoms described.
Identify the genes that may be associated with the development of the disease.
Explain the process of immunosuppression and the effect it has on body systems.
The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references.
CASE:
A 65-year-old obese African American male patient presents to his HCP with crampy left lower quadrant pain, constipation, and fevers to 101˚ F. He has had multiple episodes like this one over the past 15 years and they always responded to bowel rest and oral antibiotics. He has refused to have the recommended colonoscopy even with his history of chronic inflammatory bowel disease (diverticulitis), sedentary lifestyle, and diet lacking in fiber. His paternal grandfather died of colon cancer back in the 1950s as well. He finally underwent colonoscopy after his acute diverticulitis resolved. Colonoscopy revealed multiple polyps that were retrieved, and the pathology was positive for adenocarcinoma of the colon.
.
A 65-year-old obese African American male patient presents to his HC.docx
A 65-year-old obese African American male patient presents to his HCP with crampy left lower quadrant pain, constipation, and fevers to 101˚ F. He has had multiple episodes like this one over the past 15 years and they always responded to bowel rest and oral antibiotics. He has refused to have the recommended colonoscopy even with his history of chronic inflammatory bowel disease (diverticulitis), sedentary lifestyle, and diet lacking in fiber. His paternal grandfather died of colon cancer back in the 1950s as well. He finally underwent colonoscopy after his acute diverticulitis resolved. Colonoscopy revealed multiple polyps that were retrieved, and the pathology was positive for adenocarcinoma of the colon.
Write 2-3 pages
· Explain why you think the patient presented the symptoms described.
· Identify the genes that may be associated with the development of the disease.
· Explain the process of immunosuppression and the effect it has on body systems.
.
Name Add name hereHIM 2214 Module 6 Medical Record Abstractin.docx
Name: Add name here
HIM 2214 Module 6: Medical Record Abstracting
Instructions: In this medical record abstracting assignment you will first need to download and the records (history & physical, surgery consultation, operative report, pathology report and discharge summary) for a patient with digestive system problems. (Recommend reading them in the order listed).
Save your answers to the following related questions in this document and submit them for this module's assignment.
1. Define the terms diverticulosis and diverticulitis.
2. What is the pathophysiology of diverticulitis?
3. What is a hiatal hernia?
4. Describe some of the signs or symptoms a person with a hiatal hernia might have.
5. What is a pulmonary embolus?
6. What was the etiology (cause) of the pulmonary embolus for this patient?
7. What is gastritis?
8. Which problem is likely a contributor to the patient’s Type II diabetes mellitus?
9. What was the purpose of the barium enema?
10. What does the abbreviation HEENT stand for?
11. What is thrombophlebitis?
12. What is a surgical resection?
13. Define anastomosis.
14. What is ferrous gluconate and what is it used to treat?
15. What condition is the drug Darvocet used to treat?
16. What are electrolytes?
17. What is exogenous obesity?
18. Where is the femoral pulse found/taken?
19. Where is the popliteal pulse found/taken?
20. What is hepatosplenomegaly?
21. Which condition(s) is/are the drug Humulin used to treat?
22. What is an adenocarcinoma?
23. Which condition(s) is/are the drug Lanoxin used to treat?
24. What is the purpose of ordering the blood test PTT?
25. What is a colon stricture?
26. What is/are the etiologies associated with colorectal cancer?
27. What is the medical term for gallstones?
28. Which condition(s) is the drug Zantac used to treat?
29. What does the pathology report indicate about the spread of the carcinoma in this patient?
30. What is the etiology of Type II diabetes mellitus?
· Academic arguments are designed to get someone to agree with the author, who may use pathos (emotion), logos (logic and facts) and ethos (authority and expertise) to persuade.
Academic arguments are not about ranting, screaming or otherwise increasing conflict, but in fact are the opposite: They attempt to help the other person understand what the author believes to be right (opinion) based on the evidence presented (authority, logic, facts).
For your topic for your final paper, what kinds of arguments can you develop for your claim (thesis, main idea)?
Health Record Face Sheet
Record Number:
005
Age:
67
Gender:
Male
Length of Stay:
3 days
Service:
Inpatient Hospital Admission
Disposition:
Home
Discharge Summary
Patient is a 67-year-old male. He saw the doctor recently with abdominal pain and constipation. A barium enema showed diverticulosis and perhaps a stricture near the sigmoid and rectal junction. He was scoped by the doctor, who saw a stricture at that point and sa ...
History And Physical
This case study describes a 46-year-old male who presented to the emergency room with abdominal pain that had worsened over three days. A CT scan revealed evidence of acute appendicitis with inflammation and dilation of the appendix. The patient was admitted with a diagnosis of acute appendicitis and scheduled for an appendectomy. Physical exam findings and diagnostic test results are provided to support the diagnosis.
Take home-exam (1)
A 54-year-old African American woman presented with a 1-month history of intermittent, burning epigastric abdominal pain that radiated toward her back. She noted nausea and vomited once. Her medical history included two clean-based antral ulcers treated 5 years prior with lansoprazole and intermittent omeprazole use. The main diagnosis is likely peptic ulcer disease given her symptoms and medical history of treated ulcers. Further workup and treatment would include tests like a stool occult blood test, labs, upper endoscopy, and medications like PPIs while avoiding NSAIDs. Nursing care would focus on pain management, nutrition, and anxiety reduction through education.
A 22 year old male was Discussion question help.pdf
A 22-year-old African American male presented with sudden onset of abdominal pain after eating a turkey sandwich, with no other reported symptoms like nausea, vomiting, or changes in bowel movements. Upon assessment, the patient's abdomen was found to be soft but with guarding and rebound tenderness localized to the lower right region.
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Recommended
A 65-year-old obese African American male patient presents to his HC.docx
A 65-year-old obese African American male patient presents to his HCP with crampy left lower quadrant pain, constipation, and fevers to 101˚ F. He has had multiple episodes like this one over the past 15 years and they always responded to bowel rest and oral antibiotics. He has refused to have the recommended colonoscopy even with his history of chronic inflammatory bowel disease (diverticulitis), sedentary lifestyle, and diet lacking in fiber. His paternal grandfather died of colon cancer back in the 1950s as well. He finally underwent colonoscopy after his acute diverticulitis resolved. Colonoscopy revealed multiple polyps that were retrieved, and the pathology was positive for adenocarcinoma of the colon.
Develop a 1- to 2-page case study analysis in which you:
Explain why you think the patient presented the symptoms described.
Identify the genes that may be associated with the development of the disease.
Explain the process of immunosuppression and the effect it has on body systems.
.
Develop a 1- to 2-page case study analysis in which youEx.docx
Develop a 1- to 2-page case study analysis in which you:
Explain why you think the patient presented the symptoms described.
Identify the genes that may be associated with the development of the disease.
Explain the process of immunosuppression and the effect it has on body systems.
The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references.
CASE:
A 65-year-old obese African American male patient presents to his HCP with crampy left lower quadrant pain, constipation, and fevers to 101˚ F. He has had multiple episodes like this one over the past 15 years and they always responded to bowel rest and oral antibiotics. He has refused to have the recommended colonoscopy even with his history of chronic inflammatory bowel disease (diverticulitis), sedentary lifestyle, and diet lacking in fiber. His paternal grandfather died of colon cancer back in the 1950s as well. He finally underwent colonoscopy after his acute diverticulitis resolved. Colonoscopy revealed multiple polyps that were retrieved, and the pathology was positive for adenocarcinoma of the colon.
.
A 65-year-old obese African American male patient presents to his HC.docx
A 65-year-old obese African American male patient presents to his HCP with crampy left lower quadrant pain, constipation, and fevers to 101˚ F. He has had multiple episodes like this one over the past 15 years and they always responded to bowel rest and oral antibiotics. He has refused to have the recommended colonoscopy even with his history of chronic inflammatory bowel disease (diverticulitis), sedentary lifestyle, and diet lacking in fiber. His paternal grandfather died of colon cancer back in the 1950s as well. He finally underwent colonoscopy after his acute diverticulitis resolved. Colonoscopy revealed multiple polyps that were retrieved, and the pathology was positive for adenocarcinoma of the colon.
Write 2-3 pages
· Explain why you think the patient presented the symptoms described.
· Identify the genes that may be associated with the development of the disease.
· Explain the process of immunosuppression and the effect it has on body systems.
.
Name Add name hereHIM 2214 Module 6 Medical Record Abstractin.docx
Name: Add name here
HIM 2214 Module 6: Medical Record Abstracting
Instructions: In this medical record abstracting assignment you will first need to download and the records (history & physical, surgery consultation, operative report, pathology report and discharge summary) for a patient with digestive system problems. (Recommend reading them in the order listed).
Save your answers to the following related questions in this document and submit them for this module's assignment.
1. Define the terms diverticulosis and diverticulitis.
2. What is the pathophysiology of diverticulitis?
3. What is a hiatal hernia?
4. Describe some of the signs or symptoms a person with a hiatal hernia might have.
5. What is a pulmonary embolus?
6. What was the etiology (cause) of the pulmonary embolus for this patient?
7. What is gastritis?
8. Which problem is likely a contributor to the patient’s Type II diabetes mellitus?
9. What was the purpose of the barium enema?
10. What does the abbreviation HEENT stand for?
11. What is thrombophlebitis?
12. What is a surgical resection?
13. Define anastomosis.
14. What is ferrous gluconate and what is it used to treat?
15. What condition is the drug Darvocet used to treat?
16. What are electrolytes?
17. What is exogenous obesity?
18. Where is the femoral pulse found/taken?
19. Where is the popliteal pulse found/taken?
20. What is hepatosplenomegaly?
21. Which condition(s) is/are the drug Humulin used to treat?
22. What is an adenocarcinoma?
23. Which condition(s) is/are the drug Lanoxin used to treat?
24. What is the purpose of ordering the blood test PTT?
25. What is a colon stricture?
26. What is/are the etiologies associated with colorectal cancer?
27. What is the medical term for gallstones?
28. Which condition(s) is the drug Zantac used to treat?
29. What does the pathology report indicate about the spread of the carcinoma in this patient?
30. What is the etiology of Type II diabetes mellitus?
· Academic arguments are designed to get someone to agree with the author, who may use pathos (emotion), logos (logic and facts) and ethos (authority and expertise) to persuade.
Academic arguments are not about ranting, screaming or otherwise increasing conflict, but in fact are the opposite: They attempt to help the other person understand what the author believes to be right (opinion) based on the evidence presented (authority, logic, facts).
For your topic for your final paper, what kinds of arguments can you develop for your claim (thesis, main idea)?
Health Record Face Sheet
Record Number:
005
Age:
67
Gender:
Male
Length of Stay:
3 days
Service:
Inpatient Hospital Admission
Disposition:
Home
Discharge Summary
Patient is a 67-year-old male. He saw the doctor recently with abdominal pain and constipation. A barium enema showed diverticulosis and perhaps a stricture near the sigmoid and rectal junction. He was scoped by the doctor, who saw a stricture at that point and sa ...
History And Physical
This case study describes a 46-year-old male who presented to the emergency room with abdominal pain that had worsened over three days. A CT scan revealed evidence of acute appendicitis with inflammation and dilation of the appendix. The patient was admitted with a diagnosis of acute appendicitis and scheduled for an appendectomy. Physical exam findings and diagnostic test results are provided to support the diagnosis.
Take home-exam (1)
A 54-year-old African American woman presented with a 1-month history of intermittent, burning epigastric abdominal pain that radiated toward her back. She noted nausea and vomited once. Her medical history included two clean-based antral ulcers treated 5 years prior with lansoprazole and intermittent omeprazole use. The main diagnosis is likely peptic ulcer disease given her symptoms and medical history of treated ulcers. Further workup and treatment would include tests like a stool occult blood test, labs, upper endoscopy, and medications like PPIs while avoiding NSAIDs. Nursing care would focus on pain management, nutrition, and anxiety reduction through education.
A 22 year old male was Discussion question help.pdf
A 22-year-old African American male presented with sudden onset of abdominal pain after eating a turkey sandwich, with no other reported symptoms like nausea, vomiting, or changes in bowel movements. Upon assessment, the patient's abdomen was found to be soft but with guarding and rebound tenderness localized to the lower right region.
Drs. Milam and Thomas's CMC X-Ray Mastery Project: April Cases
Drs. Claire Milam and Alyssa Thomas are Emergency Medicine Residents and interested in medical education. With the guidance of Dr. Michael Gibbs, a notable Professor of Emergency Medicine, they aim to help augment our understanding of emergent imaging. Follow along with the EMGuideWire.com team as they post these monthly educational, self-guided radiology slides on:
• Esophageal Perforation
• Perforated Viscous
• Pneumothorax
• Traumatic Diaphragmatic Hernia
• Pulmonary Contusion
• COVID-19 associated Pneumonia
• COVID-19
• Influenza Like Illness
Instructions After reading the clinical description, assign word.docx
Instructions: After reading the clinical description, assign words or phrases from the paragraph to the term that best describes that concept. Note: Not all terms will have a match. IMPORTANT: As you review and identify items, please note you are not coding the scenario; coding has many rules associated with how an encounter is coded. This exercise is purely about your ability to recognize the pathophysiology and pharmacology concepts that are found within the excerpts.
Contents
Excerpt 1 2
Excerpt 2 3
Excerpt 3 4
Excerpt 4 5
Excerpt 5 6
Excerpt 6 7
Excerpt 7 8
Excerpt 8 9
Excerpt 9 10
Excerpt 10 11
Excerpt 1
Kimberly is a 37-year-old white female who presented to her family doctor and was referred to radiation oncology department for consultation. While with the oncologist, Kimberly reported that both her mother and sister had breast cancer. She describes feeling heartburn for “a long time” and difficulty swallowing during the past 4 or 5 months. She feels like food occasionally seems to ‘catch’ in her throat, and describes pain immediately below the sternum that feels like a gnawing or burning. Other complaints include weight loss of 30 lbs. in the past 6 or 7 months, weakness and coughing at night. After performing an endoscopy and a biopsy of the esophageal tract, a cancerous tumor was identified and staged, and plans for radiation and an esophagectomy are underway.
Diagnos(es)
Prognosis
Etiology
Signs
Symptoms
Complications
Sequelae
Nosocomial
Treatment
Procedure
Examination of living tissue
Medical History
Excerpt 2
Jane is a 12 year old female who presents is being treated today for hypertension related to Congenital Adrenal Hyperplasia (CAH), which was discovered when a biopsy done of Jane’s mother’s placenta for genetic screening showed that both her parents were carriers for the gene. Fetal blood work completed confirmed an enzyme deficiency blocking gluticosteriod and mineralocorticoid hormones. Jane regularly receives hormonal treatment and future genitoplasty is being considered. Normal sexual functioning is anticipated with continued treatment.
Diagnos(es)
Prognosis
Etiology
Signs
Symptoms
Complications
Sequelae
Nosocomial
Treatment
Procedure
Examination of living tissue
Medical History
Excerpt 3
James is a 43 y.o. male who complains of chest congestion and dry cough for 30 days. He has had a history of similar problems, but was not exhibiting symptoms when he went to Buffalo to visit brother who has dogs. Patient reports experiencing shortness of breath while sleeping in the guest room bed; reports that brother is a smoker. Unsure if he has seasonal allergies. On ordering a CBC with differential, the higher presence of lymphocytes suggested an allergic reaction. The doctor prescribed oral steroids and an albuterol inhaler and recommended him to return if the cough didn’t decrease.
Diagnos(es)
Prognosis
Etiology
Signs
Symptoms
Complications
Sequelae
Nosocomial
Treatment
Pr.
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178352604 case-presentation-2012-chole
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1 A 45-year-old male comes to the clinic with a chief complaint.docx
1 A 45-year-old male comes to the clinic with a chief complaint
QUESTION 1 A 45-year-old male comes to the clinic with a chief complaint of epigastric abdominal pain that has persisted for 2 weeks. He describes the pain as burning, non-radiating and is worse after meals. Also, he denies nausea, vomiting, weight loss or obvious bleeding. Finally, he admits to bloating and frequent belching.
PMH-+ for osteoarthritis, seasonal allergies with frequent sinusitis infections.
Meds-Zyrtec 10 mg po daily and takes it year-round, ibuprofen 400-600 mg po prn pain
Family Hx-non contributary
Social history-recently divorced and expressed concern at how expensive it is to support 2 homes. Works as a manager at a local tire and auto company. He has 25 pack/year history of smoking, drinks 2-3 beers/day, and drinks 5-6 cups of coffee per day. He denies illicit drug use, vaping or unprotected sexual encounters.
Breath test in the office revealed + urease.
The healthcare provider suspects the client has peptic ulcer disease.
1 of 2 Questions:
What factors may have contributed to the development of PUD?
2 of 2 Questions:How do these factors contribute to the formation of peptic ulcers?
QUESTION 3 A 36-year-old morbidly obese female comes to the office with a chief complaint of “burning in my chest and a funny taste in my mouth”. The symptoms have been present for years but patient states she had been treating the symptoms with antacid tablets which helped until the last 4 or 5 weeks. She never saw a healthcare provider for that. She says the symptoms get worse at night when she is lying down and has had to sleep with 2 pillows. Says she has started coughing at night which has been interfering with her sleep. Also, denies palpitations, shortness of breath, or nausea.
PMH-HTN, venous stasis ulcers, irritable bowel syndrome, osteoarthritis of knees, morbid obesity (BMI 48 kg/m2)
Family history-non contributary
Medications-amlodipine 10 mg po qd, dicyclomine 20 mg po, ibuprofen 600 mg po q 6 hr prn
Social hx- 15 pack/year history of smoking, occasional alcohol use, denies vaping
The health care provider diagnoses the patient with gastroesophageal reflux disease (GERD).
Question:
The client asks the APRN what causes GERD. What is the APRN’s best response?
QUESTION 4 A 34-year-old construction worker presents to his Primary Care Provider (PCP) with a chief complaint of passing foul smelling dark, tarry stools. He stated the first episode occurred last week, but it was only a small amount after he had eaten a dinner of beets and beef. The episode today was accompanied by nausea, sweating, and weakness. He states he has had some mid epigastric pain for several weeks and has been taking OTC antacids. The most likely diagnosis is upper GI bleed which won’t be confirmed until further endoscopic procedures are performed.
Question:
What factors can contribute to an upper GI bleed?
Question 5 A 64-year-old steel worker presents to h.
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Instructions After reading the clinical description, assign word.docx
Instructions: After reading the clinical description, assign words or phrases from the paragraph to the term that best describes that concept. Note: Not all terms will have a match. IMPORTANT: As you review and identify items, please note you are not coding the scenario; coding has many rules associated with how an encounter is coded. This exercise is purely about your ability to recognize the pathophysiology and pharmacology concepts that are found within the excerpts.
Contents
Excerpt 1 2
Excerpt 2 3
Excerpt 3 4
Excerpt 4 5
Excerpt 5 6
Excerpt 6 7
Excerpt 7 8
Excerpt 8 9
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Excerpt 10 11
Excerpt 1
Kimberly is a 37-year-old white female who presented to her family doctor and was referred to radiation oncology department for consultation. While with the oncologist, Kimberly reported that both her mother and sister had breast cancer. She describes feeling heartburn for “a long time” and difficulty swallowing during the past 4 or 5 months. She feels like food occasionally seems to ‘catch’ in her throat, and describes pain immediately below the sternum that feels like a gnawing or burning. Other complaints include weight loss of 30 lbs. in the past 6 or 7 months, weakness and coughing at night. After performing an endoscopy and a biopsy of the esophageal tract, a cancerous tumor was identified and staged, and plans for radiation and an esophagectomy are underway.
Diagnos(es)
Prognosis
Etiology
Signs
Symptoms
Complications
Sequelae
Nosocomial
Treatment
Procedure
Examination of living tissue
Medical History
Excerpt 2
Jane is a 12 year old female who presents is being treated today for hypertension related to Congenital Adrenal Hyperplasia (CAH), which was discovered when a biopsy done of Jane’s mother’s placenta for genetic screening showed that both her parents were carriers for the gene. Fetal blood work completed confirmed an enzyme deficiency blocking gluticosteriod and mineralocorticoid hormones. Jane regularly receives hormonal treatment and future genitoplasty is being considered. Normal sexual functioning is anticipated with continued treatment.
Diagnos(es)
Prognosis
Etiology
Signs
Symptoms
Complications
Sequelae
Nosocomial
Treatment
Procedure
Examination of living tissue
Medical History
Excerpt 3
James is a 43 y.o. male who complains of chest congestion and dry cough for 30 days. He has had a history of similar problems, but was not exhibiting symptoms when he went to Buffalo to visit brother who has dogs. Patient reports experiencing shortness of breath while sleeping in the guest room bed; reports that brother is a smoker. Unsure if he has seasonal allergies. On ordering a CBC with differential, the higher presence of lymphocytes suggested an allergic reaction. The doctor prescribed oral steroids and an albuterol inhaler and recommended him to return if the cough didn’t decrease.
Diagnos(es)
Prognosis
Etiology
Signs
Symptoms
Complications
Sequelae
Nosocomial
Treatment
Pr.
Turning Purple.pdf
1) A 32-year-old woman presented with a 10-year history of severe recurrent abdominal pain.
2) Extensive prior testing and evaluations did not identify a cause, though she was diagnosed with conversion disorder during one hospitalization.
3) During her most recent hospitalization for abdominal pain, she developed hyponatremia that was initially thought to be due to poor oral intake but worsened despite IV fluids.
4) Further testing revealed findings consistent with SIADH and elevated urine porphyrin levels, leading to a diagnosis of acute intermittent porphyria, a rare genetic disorder causing episodic severe abdominal pain and other symptoms.
Cholecystitis
The patient is a 45-year-old female presenting with sudden abdominal pain for 3 hours in her epigastric and right upper quadrant areas. She reports one episode of vomiting and a subjective fever. Her vital signs show elevated blood pressure, heart rate, and temperature. Physical exam reveals tenderness in the epigastric and right upper quadrants. Based on her history and exam findings, she is suspected to have acute cholecystitis.
3. Digestive System POL Case 3 - final.pptx
A 65-year-old woman presented with recent rectal bleeding, abdominal pain, weight loss, and change in bowel habits. On examination, a mass was palpated in her left lower abdomen. The main differential diagnoses included colorectal cancer, ulcerative colitis, Crohn's disease, and diverticular disease. Colorectal cancer was considered likely given her age, symptoms of rectal bleeding and weight loss, and presence of a mass. Further questions would need to be asked about her symptoms and medical history to arrive at a definitive diagnosis. The descending colon, located in the left upper and lower abdominal quadrants, would need to be examined. Pathological changes from colorectal cancer are likely due to the
178352604 case-presentation-2012-chole
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Junior Medillectuals, Synapse 2018
An Irish surgeon recently rediscovered the 79th organ in the human digestive system, the mesentery, which had previously been discovered by Leonardo da Vinci but later ignored. A common anatomical variant seen in the gallbladder during imaging is called the Phrygian cap due to its resemblance to headwear associated with people from central Anatolia and the French Revolution. Dark urine in a patient taking an antibiotic for a UTI is likely caused by G6PD deficiency and hemolysis from the antibiotic. Infectious mononucleosis presents with swollen tonsils, lymphadenopathy, and atypical lymphocytes on blood smear.
Drs. Milam and Thomas's CMC X-Ray Mastery Project: July cases
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Drs. Lena, Avery, and Davis’s CMC Abdominal Imaging Mastery Project: November...
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- Internal Hernia
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- Colonic Perforation
Drs. Lena, Avery, and Davis’s CMC Abdominal Imaging Mastery Project: July Cases
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• Malignant Bowel Obstruction
• Liver Laceration
• Sigmoid Volvulus
Abdominal Pain in the Elderly
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Fecal Transplants for treatment of Clostridium Difficile, Ulcerative Colitis ...
A summary of information about Fecal Transplants which are used to treat and effectively cure infections of anti-biotic resistant Clostridium Difficile infections of the large intestine. In addition to helping treat c. diff there have been case studies reporting success for treating Ulcerative Colitis and Crohn's Disease as well. Unfortunately access to this treatment through doctors in the United States is currently limited by FDA restrictions which require doctors to first apply for an Investigational New Drug (IND) permit. This has lead to some patients doing fecal transplants themselves.
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1 A 45-year-old male comes to the clinic with a chief complaint.docx
1 A 45-year-old male comes to the clinic with a chief complaint
QUESTION 1 A 45-year-old male comes to the clinic with a chief complaint of epigastric abdominal pain that has persisted for 2 weeks. He describes the pain as burning, non-radiating and is worse after meals. Also, he denies nausea, vomiting, weight loss or obvious bleeding. Finally, he admits to bloating and frequent belching.
PMH-+ for osteoarthritis, seasonal allergies with frequent sinusitis infections.
Meds-Zyrtec 10 mg po daily and takes it year-round, ibuprofen 400-600 mg po prn pain
Family Hx-non contributary
Social history-recently divorced and expressed concern at how expensive it is to support 2 homes. Works as a manager at a local tire and auto company. He has 25 pack/year history of smoking, drinks 2-3 beers/day, and drinks 5-6 cups of coffee per day. He denies illicit drug use, vaping or unprotected sexual encounters.
Breath test in the office revealed + urease.
The healthcare provider suspects the client has peptic ulcer disease.
1 of 2 Questions:
What factors may have contributed to the development of PUD?
2 of 2 Questions:How do these factors contribute to the formation of peptic ulcers?
QUESTION 3 A 36-year-old morbidly obese female comes to the office with a chief complaint of “burning in my chest and a funny taste in my mouth”. The symptoms have been present for years but patient states she had been treating the symptoms with antacid tablets which helped until the last 4 or 5 weeks. She never saw a healthcare provider for that. She says the symptoms get worse at night when she is lying down and has had to sleep with 2 pillows. Says she has started coughing at night which has been interfering with her sleep. Also, denies palpitations, shortness of breath, or nausea.
PMH-HTN, venous stasis ulcers, irritable bowel syndrome, osteoarthritis of knees, morbid obesity (BMI 48 kg/m2)
Family history-non contributary
Medications-amlodipine 10 mg po qd, dicyclomine 20 mg po, ibuprofen 600 mg po q 6 hr prn
Social hx- 15 pack/year history of smoking, occasional alcohol use, denies vaping
The health care provider diagnoses the patient with gastroesophageal reflux disease (GERD).
Question:
The client asks the APRN what causes GERD. What is the APRN’s best response?
QUESTION 4 A 34-year-old construction worker presents to his Primary Care Provider (PCP) with a chief complaint of passing foul smelling dark, tarry stools. He stated the first episode occurred last week, but it was only a small amount after he had eaten a dinner of beets and beef. The episode today was accompanied by nausea, sweating, and weakness. He states he has had some mid epigastric pain for several weeks and has been taking OTC antacids. The most likely diagnosis is upper GI bleed which won’t be confirmed until further endoscopic procedures are performed.
Question:
What factors can contribute to an upper GI bleed?
Question 5 A 64-year-old steel worker presents to h.
Board review abdomen 9.4.13
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Cystic fibrosis[1]
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Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: October Cases
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- Constipation
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Capillaria philippinensis in Occidental Mindoro, Philippines
A case of chronic diarrhea secondary to Capillaria philippinensis in Occidental, Mindoro Philippines: a newly-diagnosed endemic area?
https://www.actamedicaphilippina.org/article/7208-a-case-of-chronic-diarrhea-secondary-to-capillaria-philippinensis-in-occidental-mindoro-possibly-a-newly-described-endemic-area
Similar to A obese African American male patient presents to his.docx (19)
Instructions After reading the clinical description, assign word.docx
Instructions After reading the clinical description, assign word.docx
Drs. Milam and Thomas's CMC X-Ray Mastery Project: July cases
Drs. Milam and Thomas's CMC X-Ray Mastery Project: July cases
Drs. Lena, Avery, and Davis’s CMC Abdominal Imaging Mastery Project: November...
Drs. Lena, Avery, and Davis’s CMC Abdominal Imaging Mastery Project: November...
Drs. Lena, Avery, and Davis’s CMC Abdominal Imaging Mastery Project: July Cases
Drs. Lena, Avery, and Davis’s CMC Abdominal Imaging Mastery Project: July Cases
Fecal Transplants for treatment of Clostridium Difficile, Ulcerative Colitis ...
Fecal Transplants for treatment of Clostridium Difficile, Ulcerative Colitis ...
Drs. Milam and Thomas's CMC X-Ray Mastery Project: September Cases
Drs. Milam and Thomas's CMC X-Ray Mastery Project: September Cases
1 A 45-year-old male comes to the clinic with a chief complaint.docx
1 A 45-year-old male comes to the clinic with a chief complaint.docx
Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: October Cases
Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: October Cases
Capillaria philippinensis in Occidental Mindoro, Philippines
Capillaria philippinensis in Occidental Mindoro, Philippines
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