Question

car o Society euidelind CASE STUDIES Read the case shadies and answer the questions that follow. 1. Dr. Sahani has ordered a screening fecal occult blood test for a patient to perform at home. Explain the test to the patient and why it is necessary. What collection instructions should Joan, the medical assistant, provide the patient? 2. While you are answering the telephone, a patient calls complaining of right lower quadrant pain. She is concerned about her appendix. Using your knowledge of acute appendicitis, what are the common signs? What questions should you ask the patient? What instructions should you provide the patient? Include the documentation for the patient's health record. What tests can be done to confirm the diagnosis? 3. Charles is scheduled for a barium swallow tomorrow. Explain the purpose of the procedure and any patient prepara- tion involved 4. Anna will have a colonoscopy next week. She calls the office and asks Joan whether she will be able to drive herself home after the test. How should Joan respond? Anna is also confused about the patient preparation for the test. What preparation procedures should Joan explain to Anna with regard to the test? 3. Shawna is 25 weeks pregnant and is suspected of having cholelithiasis. What diagnostic test is the provider likely to order for this patient? Why? WORKPLACE APPLICATION OPTIONS complete one or more of these activities and, if appropriate, share your results with the class. Many of Joan's patients are unsure of the risk factors for developing certain types of GI system cancers. Lista describe some of the most common risk factors.

please type. thank you

Answer 1

1)Fecal occult blood test is test for checking stool samples for hidden blood. It is necessary to diagnose various disorder like colon cancer or polyp in colon or rectum.

Instructions - collect stool sample which is not mixed with urine or other fluid. After collection bring the sample within 48 hrs to lab .

2)sign- dull pain in abdomen and severe pain in lower right abdomen. Associated with diarrhoea, vomiting, nausea, fever, chills.

Question ask from patient -- ask whether fever occurs first and pain near belly button. And then pain moves toward lower right corner accompanied by nausea, vomiting.

Test .. Usually diagnosed on basis of patient history and physical examination. But many test are done like X ray, CT scan, laproscopy etc.

3) Barium swallow is a test use to determine cause of painful swallowing, abdominal pain, bloodstained vomit. Barium sulfate is a compound that sees on X ray.

Instructions to patient -- Do not drink or eat 6 hours before the procedure. May drink small sip of water 2 hours before procedure.

4)) colonoscopy used to detect changes or abnormalities in colon or rectum. John should response in anger. Patient preparation.. Don't eat solid food one day before procedure,, consume only clear liquids.

5) ultrasound is the safest method to diagnose cholelithiasis in pregnant women. Other test may damage the foetus.

Workplace

1) risk factor for gi cancer

Diet, smoking, bacteria infection, family history, genetics

2))GERD - gastroesophagel reflex disease. Disease in which stomach acid frequently enters in tube.

Cause -- occurs when sphincter muscles at lower end of tube relaxes in wrong time

Sign and symptoms -- people may experience heartburn, nausea,, bitter taste,, discomfort in upper abdomen.

Diagnosis -- upper GI endoscopy

Treatment --self care like diet modifications and medication like antacid. Ppi

3)) a) nausea and vomiting in gi complications -- most important to ask about nausea and vomiting.. Ask about time period when started, vomiting -- liquid or solid,, is there any blood.

B)) diarrhoea - frequency,, liquidity,, is there any blood clot,, time period.

C)) constipation - time period,, dietary habits,, previous history.

D)) abdominal pain, -- severity,, progression,, other symptoms

4)) staphylococcus aureus source -- contaminated food, water,, air

Sign and symptoms --nausea, vomiting,, diarrhoea

E. Coli -- source contaminated food

Sign and symptoms --diarrhoea, vomiting,, nausea,, abdominal cramps, pain

Salmonella species --contaminated food,, water,, egg, poultry meat,, pig meat

Sign and symptoms --diarrhoea,, fever,, chills,, abdominal pain