Irritable bowel syndrome

A review of the records reveals the member to be young male with a birth date of 01/15/1999. The member has a diagnosis of Crohn’s disease. His provider, Reinaldo Garcia-Naveiro, M.D. recommended Prometheus Anser IFX diagnostic testing that was performed on 12/15/14. The carrier has denied coverage of Prometheus Anser IFX testing as investigational. There is a letter to Nancy Twigg from the carrier dated 11/24/15. In the letter, the carrier states in part: “The submitted medical records…

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…

Post-cholecystectomy syndrome is defined as the recurrence of symptoms similar to those experienced before the cholecystectomy. This usually takes the form of upper abdominal pain (mainly right upper quadrant) and dyspepsia, with or without jaundice. It is defined as early if occurring in the post-operative period and late if it manifests after months or years1,2. The incidence of postcholecystectomy syndrome has been reported to be between 5% and 40% in one study, and the onset of symptoms may…

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…

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 field of medicine is constantly evolving as new research is conducted daily. As a healthcare provider it can be easy to manage patients “the way it has always been done” since that is still often an effective treatment method. However, just because a method of treatment has been known for a longer period of time, that does not mean it is the only treatment option still, or even the best treatment method. It’s important to stay up to date on current research that can provide options to the…

An eighty-five year old female came in with lower abdominal pain that had persisted for a few days. This patient has a history of hypertension, gastroesophageal reflux disease (GERD), dyslipidemia, glaucoma, deep venous thrombosis prophylaxis, and is a former smoker that quit 10 years ago. She has not been diagnosed with COPD or any other respiratory problems and had not had any significant surgeries. When she came into the emergency department her vitals were as follows: blood pressure 121/57,…

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…

Patient Initials: XY Age: 60 Sex: M SUBJECTIVE DATA: Client Complaints: Acute abdominal pain after eating with nausea HPI: The patient came in with complaints of acute abdominal pain. He verbalized that his acute onset of abdominal pain started last evening after eating. He is also experiencing a gnawing hunger pain in the umbilical area. He also feels nauseous but no vomiting. He felt warm and sweaty last night that he believed he may have had a fever. His symptoms subsided after he sat…

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 now and he has…