Aling Ising, 50 year old, who works as a laundry woman, was hospitalized due to nausea, vomiting and acute abdominal pain of rapid onset How would you asses this patient?
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- Male, 50 years old, was admitted to the emergency department with abdominal pain for 7 hours The patient overate 8 hours before and felt discomfort in the upper abdomen after drinking alcohol. 7 hours ago, there was sudden severe pain under the xiphoid process, accompanied by nausea and vomiting of stomach contents several times. 5 hours ago, abdominal pain spread to the right lower abdomen with onset of fever. The patient refused to press the abdomen due to pain, irritable, and had cold sweats. Physical examination: T38.6 °C, P104 /min, R24 /min, BP100/60mmHg. Acute painful appearance, irritability, no obvious lesions in cardiopulmonary examination, flat abdomen, no gastrointestinal and peristaltic waves, extensive abdominal muscle tension, tenderness in the subxiphoid area and right middle and lower abdomen, obvious rebound pain. The most prominent undershoot, liver and spleen are not reached, Murphy sign (-), shifting dullness (-). dullness (-). Bowel sounds are heard occasionally,…A 32-year-old man presents to his GP with colicky pain which radiates fromhis back to his groin on the left. He has also been feeling nauseated and has vomited several times. The patient relates that he has never had this kind of problem before and that nobody else in his family has either. He is a fit and well man with no medical problems and does not take anymedications. He has not had any urinary symptoms or fever. He does eat a lot of chocolate and drinks a lot of tea. He works outdoors as a gardener and so often gets very hot and does not always have time for a drink. The pain comes in waves and can last about 30 minutes. * On examination On examination he is very tender in the left loin. The pain radiates into hisleft groin. The rest of his abdomen is soft and non-tender. His urine dipstick shows non-visible haematuria and is negative for nitrites and leucocytes. His temperature is 38.2. He is clinically dehydrated and is still vomiting. * examination When in hospital the patient…TM is a 38 year old male with ulcerative colitis admitted to the medical unit at the hospital for acute exacerbation of the disease. This is his second admission in the last six months. TM says he is frustrated with this disease. In the last week TM has had 15-20 diarrhea episodes a day. He needs to hurry to the bathroom often throughout the day and night. He reports sleeping only an hour at a time at night and trouble staying awake at work. He also reports nausea and vomiting in the last three days along with increasing abdominal pain. His bowel movement at time of admission appears loose, bloody and has a large amount of mucous. His vital signs include: BP 98/64, HR 96, RR 22, T 100.8˚F (38.2˚C), O2Sat 98% on RA. He is 5’8” and weighs 125 lbs.1. Which assessment values are indicative of ulcerative colitis?The physician orders the following labs: CBC w/differential, Chem panel, stool analysis.2. What abnormalities do you expect and why?The nurse assigns the nursing diagnosis of…
- A 12-year-old male was brought in by his mother for evaluation of diarrhea and crampy abdominal-pain of 2 weeks duration. That morning he had an "accident" in his pants and saw something move. His mother thought it was an earthworm. He had no fever, cough, or hemoptysis. His physical examination was unremarkableA 62-year-old man returns home from playing bingo, complaining of midline abdominal pain. He denies being hit or suffering any other trauma. Over the next few hours the pain does not remit but becomes more severe and is localized to the lower right quadrant. He also develops nausea and vomiting. He denies diarrhea and has not had similar episodes. The patient lies down in bed, and over the next 24 hours, the pain worsens and he develops fever and chills and is brought to the emergency center. On examination, he has a temperature of 102°F and appears ill. His abdomen is mildly distended and has hypoactive bowel sounds. The abdomen is diffusely tender to palpation, particularly in the right lower quadrant. 1. What is the most likely diagnosis? 2. What additional tests would help in making an accurate diagnosis?lunch meal that you can recommend to patient has ulcerative colitis with drinks
- Which of the following viruses is NOT routinely responsible for causing gastroenteritis? O Rotavirus O Norovirus O Coronavirus O AdenovirusA 24- year old female was admitted to the hospital complaining of having a repeated episode of severe abdominal pain with bloody diarrhea up to 20 times/day for the passed 2 days. What are some investigations that you would ask to be done? What could be the diagnosis? What causes the diagnosis that you have picked? How would you treat this acute case? Is there a way to prevent this episode from happening again?In the article "Epidemiology of Gastric cancer in Japan": 1. What are the new ideas/ information you learned from the research article? 2. Do you think the experiences of Japanese individuals in relation to gastric cancer are applicable to Filipinos? Why? 3. In what ways do Japanese and Filipinos differ in food preferences and eating habits? What are their similarities?
- A 25 year old, previous)y healthy woman came to the emergency room for the evaluation of bloody diarrhea and diffuse abdominal pain of 24 hours' duration. She complained of nausea and had vomited twice. S reported no history of infammatory bowel disease, previous diarrhea, or contact with people with diarrhea. The symptoms began 24 hours after she had eaten an undercooked hamburger at a local fast food restaurant Rectal examination revealed watery stool with gross blood. Endoscopy tests showed diffuse mucosal erythema and petechia with a modest exudation but no ulceration or pseudomembranes. 1. Name the four genera of Enterobacteriaceae that can cause gastrointestinal disease. Which two can cause hemorrhagic colitis? 2. What virulenca factor causes the symptoms described in this clinical case? Describe the toxin mechanism of action. 3. Name the five groups of E coli that can cause gastroenteritis. What is the characteristic of each group? 4. What are the forms of Salmonella infection?…A 30-year-old male banker complains of mid epigastric gnawing and boring pain for the last week. The pain is worse at night and is somewhat better immediately after he eats. He has not had any fever, nausea, or vomiting. He takes about one 500-mg acetaminophen tablet a week for headaches but does not take any other medications. Upper endoscopy reveals a 2-cm mucosal defect in the antrum of the stomach. There is mild edema in the adjacent mucosa, but there is no thickening of the edges of the ulcer. 1. What is the most likely diagnosis? 2. What are complications from this condition? 3. What is the most likely mechanism of this disorder?Which of the following is not an example of spongiform encephalopathy? Creutzfeldt-Jakob disease Mad Cow disease listeriosis chronic wasting disease
