Etiology & Incidence: In the US, the third most common gastrointestinal illness requiring hospitalization and the leading indication for elective colon resection is diverticulitis. Of the people who have diverticulosis, 4-15% of the patients will develop diverticulitis, and increasing with age. An older belief was diverticulitis was caused by an obstruction of the diverticula (fecaliths), current belief is it is related to pressure or inspissated particles in the lumen. Other things believed to contribute to diverticulitis is, a low fiber diet, a diet high in fat and red meats, obesity, and smoking. (Pemberton, 2016a)
Pathology: The underlying cause of diverticulitis is micro- or macroscopic perforation of a diverticulum. It was previously …show more content…
Five distinct clinicopathological entities have been described: intracranial lesion (solitary or multiple), diffuse leptomeningeal or periventricular lesions, vitreous/uveal deposits, intradural spinal cord lesion, and nerve seeking lymphoma (Neurolymphomatosis) (Batchelor, & Loeffler, 2015).
Medical treatment: Aside from high-dose systemic methotrexate (MTX), there is little agreement on the best components of therapy for newly diagnosed PCNSL, and there is variation in clinical practice. General principles that guide therapy in patients with PCNSL include the following: both radiation and selected chemotherapeutic agents, surgery (mainly a diagnostic tool), and glucocorticoid medications. When using MTX, it is usually given at sufficiently high doses to penetrate the CNS. MTX is the most active single agent against PCNSL identified to date (Batchelor, 2016).
Nursing Management: I would monitor the patient’s vital signs, looking for any abnormalities or anything outside the parameters. I would perform a thorough neurological exam assess for any abnormalities since his cancer is located in his CNS. I would check his muscle function, cranial nerve function, alert and oriented, and assess for any pain intracranial or otherwise. I would also assess the abilities of my patient to perform his ADLs and stability while standing and
Pathology: The underlying cause of diverticulitis is micro- or macroscopic perforation of a diverticulum. It was previously …show more content…
Five distinct clinicopathological entities have been described: intracranial lesion (solitary or multiple), diffuse leptomeningeal or periventricular lesions, vitreous/uveal deposits, intradural spinal cord lesion, and nerve seeking lymphoma (Neurolymphomatosis) (Batchelor, & Loeffler, 2015).
Medical treatment: Aside from high-dose systemic methotrexate (MTX), there is little agreement on the best components of therapy for newly diagnosed PCNSL, and there is variation in clinical practice. General principles that guide therapy in patients with PCNSL include the following: both radiation and selected chemotherapeutic agents, surgery (mainly a diagnostic tool), and glucocorticoid medications. When using MTX, it is usually given at sufficiently high doses to penetrate the CNS. MTX is the most active single agent against PCNSL identified to date (Batchelor, 2016).
Nursing Management: I would monitor the patient’s vital signs, looking for any abnormalities or anything outside the parameters. I would perform a thorough neurological exam assess for any abnormalities since his cancer is located in his CNS. I would check his muscle function, cranial nerve function, alert and oriented, and assess for any pain intracranial or otherwise. I would also assess the abilities of my patient to perform his ADLs and stability while standing and