A 54 year old African American male presents to your ED with left lower abdominal pain,...
A 54 year old African American male presents to your ED with left lower abdominal pain, diarrhea, nausea and vomiting. He states that he has a decreased appetite along with a low grade fever and chills. His past medical history includes a diagnosis of hypertension, diverticulosis and obesity. He is a smoker.
- What is diverticulosis?
- What risk factors are related to diverticulosis?
- What risk factors does the client have for the development of diverticulitis?
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A 54 year old African American male presents to your ED with
left lower abdominal pain,...
A 51-year-old male presents to your office with left lower abdominal pain, diarrhea, nausea, and vomiting....
A 51-year-old male presents to your office with left lower abdominal pain, diarrhea, nausea, and vomiting. He states that he has a decreased appetite along with a low-grade fever and chills. His past medical history includes a diagnosis of hypertension and obesity. He is a smoker. Upon arrival, his vital signs are normal aside from a pulse of 102 and a temperature of 100.0. On exam you note the patient is visibly uncomfortable. When you exam his abdomen, you note...
A 63-year old African American male presents to the ER complaining of severe flank pain and cramping as well as recent...
A 63-year old African American male presents to the ER complaining of severe flank pain and cramping as well as recent onset of blood in his urine. His labs are notable for decreased PTH and increased calcium. What is the most likely cause of the flank pain? After 24 hours, the patient passes a kidney stone analysis of the stone would demonstrate what finding most likely? What condition is indicated by the decreased PTH and increased calcium levels? What is...
Ms. X is a 30-year old African American female who presented to the ED with a...
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Adam is a 68-year-old male admitted to the hospital with a 1-month history of nausea, vomiting,...
Adam is a 68-year-old male admitted to the hospital with a 1-month history of nausea, vomiting, and diarrhea resulting in weight loss and fatigue. He presents tachycardic with abdominal pain, fever, and chills. Adam is a retired engineer and lives at home with his wife. is now HD 15 and Adam is recovering well. He has been moved out of the ICU to the medical ward and is preparing for discharge home. His appetite and oral intake are improving. Based...
Critical Thinking Question • 20 year-old male experienced sudden, severe abdominal pain • Drank milk, took...
Critical Thinking Question • 20 year-old male experienced sudden, severe abdominal pain • Drank milk, took antacid, little relief • When to class, developed nausea, vomiting • Four stools over the next few hours, no diarrhea • No Hx ulcerative colitis or Crohn's disease • Rebound tenderness RLQ • Elevated white blood cell count • What is the most likely diagnosis? . 11...
A patient is a 74 years old white female presents to the emergency room with a...
A patient is a 74 years old white female presents to the emergency room with a chief complaint of abdominal pain, nausea, vomiting, and lack of appetite. The patient was mildly dehydrated. She went for CT of the abdomen with contrast and showed a partial small bowel obstruction with no evidence of a mass, inflammation or fecal impaction. Denies fever or chills. The patient had history of abdominal surgery in the past. 1. What is the reason for the obstruction?...
AR is a 46yo African-American male who presents to his doctor with excessive thirst, urination, and...
AR is a 46yo African-American male who presents to his doctor with excessive thirst, urination, and hunger for the past 2 months. Other past medical history includes obesity, hypertension, hyperlipidemia, and occasional tension headaches. He is a non-smoker and participates in minimal weekly cardiovascular activity. He is currently taking hydrochlorothiazide 25mg daily, atorvastatin 20mg QHS, acetaminophen 500mg daily PRN pain. Pt denies any drug allergies. His doctor draws fasting labs with the following results: Glucose 168, Scr 1.01, BUN 14,...
A 48-year-old man presents to the emergency department with 2 days of crampy abdominal pain, nausea,...
A 48-year-old man presents to the emergency department with 2 days of crampy abdominal pain, nausea, vomiting, diarrhea, and fever. He has not had any blood in his stool. He denies contact with anyone with similar symptoms recently. He has not eaten any raw or unprocessed foods recently. The only food that he did not prepare himself in the past week was a breakfast of eggs “sunny side up” and bacon that he had at a diner the day before...
CASE C: A 61 year old African American male presents to the emergency department with complaints of a productive cough, dyspnea and altered mental status. His past medical history is significant...
CASE C: A 61 year old African American male presents to the emergency department with complaints of a productive cough, dyspnea and altered mental status. His past medical history is significant for HIV and currently he is non-compliant with his anti-retroviral medications. On arrival, he is found to be hypoglycemic (glucose 49 mg/dL) and tachycardic (heart rate between 160-180 beats/min). He lives in a group home and they report decreased oral intake for several days but he denies fever, chills,...
A patient is a 74 years old white female presents to the emergency room with a...
A patient is a 74 years old white female presents to the emergency room with a chief complaint of abdominal pain, nausea, vomiting, and lack of appetite. The patient was mildly dehydrated. She went for CT of the abdomen with contrast and showed a partial small bowel obstruction with no evidence of a mass, inflammation or fecal impaction. Denies fever or chills. The patient had history of abdominal surgery in the past. 1. What is the reason for the obstruction?...
A 63-year old African American male presents to the ER complaining of severe flank pain and cramping as well as recent onset of blood in his urine. His labs are notable for decreased PTH and increased calcium. What is the most likely cause of the flank pain? After 24 hours, the patient passes a kidney stone analysis of the stone would demonstrate what finding most likely? What condition is indicated by the decreased PTH and increased calcium levels? What is...
Critical Thinking Question • 20 year-old male experienced sudden, severe abdominal pain • Drank milk, took antacid, little relief • When to class, developed nausea, vomiting • Four stools over the next few hours, no diarrhea • No Hx ulcerative colitis or Crohn's disease • Rebound tenderness RLQ • Elevated white blood cell count • What is the most likely diagnosis? . 11...
CASE C: A 61 year old African American male presents to the emergency department with complaints of a productive cough, dyspnea and altered mental status. His past medical history is significant for HIV and currently he is non-compliant with his anti-retroviral medications. On arrival, he is found to be hypoglycemic (glucose 49 mg/dL) and tachycardic (heart rate between 160-180 beats/min). He lives in a group home and they report decreased oral intake for several days but he denies fever, chills,...
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