Bowel obstruction

intestinal obstruction is the most commonly found surgical problem of the small intestine. Generally patients with small bowel obstruction present with variable clinical symptoms and sign such as pain in abdomen , vomiting, constipation, abdominal distension and tenderness [4,7]. Intraabdominal adhesions associated to previous abdominal surgery is the commonest cause of mechanical small bowel obstruction. Other causes are hernias, neoplasms, malrotation , tuberculosis and inflammatory bowel diseases. Conversely, in patients without abdominal surgery history, it is tough to diagnose and manage. Early and exact diagnosis of intestinal obstruction and its causes are essential and proper treatment is of greatest significance…

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…

Weaver, PA-S Bethel University History of Present Illness On 8/3/2015 a 45 year old African American male presented to the ER with a chief compliant of diffuse abdominal pain and trouble having a bowel movement. The patient stated that he was experiencing rectal pain with bloody stools. He also complained of feeling his bowels pulling. The patient stated that he has lost roughly 40 pounds in the past month without trying to lose weight. He stated that this has been going on for 2 months…

My hands were retracting away long segments of bowel with a blue cloth inside of the body cavity while the surgeon dissected through healthy tissue to reach underlying structures. My hands feel the patient’s blood pressure bounding against the vessels that have delivered oxygen and nutrients to his vital organs for 19 short years. My hands reach for the tubes that the surgeon will use to canalize the aorta. Foresight is important in surgery, so I am prepared for the next step with him. The…

appendicitis has been for the patient to undergo either an open or laparoscopic appendectomy.1 Recently, there has been increased interest and research to see if antibiotics can be an efficacious alternative to an appendectomy in cases of uncomplicated appendicitis though. Without treatment, the appendix can perforate leading to peritonitis, sepsis, and even patient death. Rupture occurs in approximately 27% of cases, therefore it is crucial appendicitis be treated quickly and…

developed nausea and vomiting. The patient ultimately went into atrial fibrillation. An electrocardiogram was done and resulted in atrial fibrillation with fast ventricular response and a left bundle branch block. Once this was treated and under control the patient went for an echocardiogram and the results from this were: left ventricle ejection fraction of 62%, left ventricular hypertrophy, mitral valve calcification/thickening, and a pericardial effusion. When the stomach CT was read in the…

System: The patient is married and although his wife continues to work in a local grocery store, she also has physical limitations due to her osteoarthritis of both knees and hips. Client’s Locus of Control and Readiness to Learn: The patient exhibited helplessness and depressive symptoms due to his medical conditions and physical limitations brought upon by his gout symptoms. He showed willingness to learn to manage his illness to feel better. ICD-9 Diagnoses/Client Problems: 789.07 – Acute…

Furuncular Myiasis Case Report Two college students returning to America from their study abroad program to Senegal Africa both had visited the hospital for lesions on their persons. Patient 1: A 20-year-old male presented to the emergency department with painful, pruritic, tender red lumps on the bilateral legs of 1 week’s duration. The lesions had developed 1 week after returning from a month long trip to Senegal with a volunteer youth group. He did not recall enduring any sort of painful…

Understanding of the subjective illness experience of bowel cancer (also known as colorectal cancer) is crucial in managing the illness and coping with patients (Johansson, Axelsson, Berndtsson& Brink, 2014). The subjective experience of illness is largely shaped by the social understanding of cancer, economic burdens and relationship between family members. It various among patients and their family members. My grandma was diagnosed with stage III (curable) bowel cancer 13 years ago at the age…

The 44-year-old obese female is admitted to the emergency room with fever, severe abdominal pain on the upper right side that radiates to the scapula and nausea. I believe this patient is experiencing acute cholecystitis, gallbladder attack. The signs and symptoms of acute cholecystitis includes: intense or sudden pain in the upper right part of the stomach, worsening pain with deep breathing extending to the lower part of the right shoulder blade, shortness of breath due to pain, nausea and…