Chilaiditi’s sign-which is an extremely rare radiographic sign is an incidental radiographic finding of interposition of a colon segment between the liver and the diaphragm. Chilaiditi sign can be initially misdiagnosed as a diaphragmatic hernia or pneumoperitoneum that can need unnecessary surgeries. We report a patient with type-2 diabetes mellitus, who was incidentally diagnosed with Chilaiditi’s sign in order to attract attention to this extremely rare occasion and avoid unnecessary surgery. Özet Türkçesi yazılacak……………………………………… introduction Chilaiditi's sign is an incidental radiographic finding of subdiaphragmatic radiolucency due to the interposition of a bowel segment between the liver and the diaphragm.…
With this doctor visit, the doctor will do a complete medical history, physical examination, and laboratory evaluation in order to confirm her diagnosis to start her on a…
Two pt verifier confirmed. Pt c/o worsening abomen pain x1 year. He states that he has been seen in the clinic multiple times for the same issue. Pt states that he recently completed a CT scan and cyst was noted to his kidney. Howvever, he is very concern because he in the last several weeks he's had a decrease in appetitie, loss weight, and constant has mid gastrric pain.…
Database and Assessment Table 1 – Physical Nursing Assessment Data GENERAL: Patient is an 88 year-old Caucasian male. Vital signs stable at 97.3°F, 82BPM, 22 breaths/min, 84/54mmHg, 100% on 1.5lL O2, 0/10 pain, patient weight 58kg. SKIN/HAIR/NAILS: Skin was thin and fragile, warm and moist, skin color slightly pale, skin tear on left upper arm measuring 3 inches, no bleeding or pain.…
Crohn’s Disease Symptoms – Is There a Way to Manage Them? Crohn’s disease symptoms vary from one patient to the next. Depending on how mild or severe the condition is, the signs could be anywhere from mere nausea to bleeding. There are extraintestinal manifestations which are rarely present. The disease can also affect different parts of the body such as the skin, liver, joints and the eyes.…
1. What kind of a history do you need to gather on the geriatric population prior to ordering psychotropic medication? A full and complete Medical history is important to consider any co-morbid disease processes. Has the patient been treated for or diagnosed with any psychiatric disorders or diseases?…
Late Table “Symptom sorter”: alst of the common symptoms and their causes to aid diagnosis Tachycardia Hypotension Abdominal pain Pyrexia Nausea and vomiting GI bleed GI bleed GI bleed Leak Ulcer/fistula…
When looking at ischemic VS hemorrhagic GI disorders, the treatment goals are no different than what you would see in a ischemic VS hemorrhagic stroke. Looking fist at a hemorrhagic GI disorder, like esophageal varices listed above, the symptoms include those related to any bleeding issue, such as, low BP, increased HR, drop in H&H, etc. More specifically with GI related bleeding, patients can have blood in stools, blood in sputum, or vomit, GI pain, or aspiration. The treatment remains the same, stop the underlying cause. Find and stop the source of bleeding which often requires the usual interventions needed to explore the GI system.…
Normal pathophysiology of gastric acid stimulation and production. Normally the stomach holds around 50cc of fluid. There are several stimuli that work together in the complex process of the digestion process (Huether & McCance, 2012). There are three phases of gastric secretion, first being the cephalic phase, which is stimulated by the thoughts , smells and taste of food.…
A Gastric Emptying Study is done with a nuclear medicine physicians that uses radioactive decay. It measures the speed that the food empties the stomach and that enters the small intestines. The metal scanner is placed over the patient's stomach to monitor how much radioactivity is in the stomach after hours of eating the test meal. A Gastric Emptying Study is usually called a gastroesophageal reflux study. Gastric Emptying Study is a diagnostic imaging exam that measures the food.…
A 59-year old white female presented to the Emergency Room department complaining of severe back pain that began two days prior. The patient was tender to the touch along the middle of the thoracic spine with no warmth or redness. The patient’s spine did reveal mild scoliosis but no gross deformities. There was no significant radiating pain to the surrounding spinal musculature. Although the patient was ambulatory, any movement such as walking, twisting side to side, bending over, or standing up inflicted pain.…
CONCEPT 7: THE SIGNIFICANCE OF NURSING HISTORY AS PART OF GASTROINTESTINAL TRACT ASSESSMENT. This concept is taken from Block 4, Module 8 which is entitled as ‘Assessment of gastrointestinal system’. The digestive system is made up of organs that function together to transform food substances to energy and nutrients that are needed in the body.…
When to consult? It is best to consult your general practitioner first. If the situation requires further examination, he will recommend a gastroenterologist. This discipline being more and more specialized, ask for advice from your general practitioner who will refer you to the person best able to treat your case.…
Treatment According to the position statement on LPR by the American Academy of Otolaryngology-Head and Neck Surgery, treatment for LPR should be more aggressive and of longer duration than treatment for GERD (Koufman, Aviv, Casiano, & Shaw, 2002, as cited in Rees, 2008). This is due to the extensive amount of time necessary to repair the mucosal damage caused by LPR, which usually requires between two and six months with pharmacologic treatment. When determining a course of treatment for your client, it is best to determine the symptoms with which the client presents and consider the client’s lifestyle. Treatment Options Surgery.…
It would also be important to ask the patient when their last bowel movement occurred and if it was normal compared to what it normally is for that…