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 tenderness and guarding to the left lower quadrant.
Question 1
What is your diagnosis?
- Diverticulitis
- Cholelithiasis
- Appendicitis
- Pancreatitis
Question 2
What is your next course of action?
Question 3
What is your treatment plan?
Question 4
What potential complications are you concerned about?
Homework Answers
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A 51-year-old male presents to your office with left lower
abdominal pain, diarrhea, nausea, and vomiting....
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?
Case 1 A 19-year-old male college student presents to the student health department with abdominal pain,...
Case 1 A 19-year-old male college student presents to the student health department with abdominal pain, diarrhea, and fever. He say that his symptoms started 1 day ago. He has had 10 stools in the past day and has noted blood mixed in with the stool on several occasions. He usually eats at home but reports having eaten chicken in the college cafeteria days ago. He has no history of gastrointestinal (GI) disease. On examination he has a temperature of...
A 4-year-old male was admitted to the hospital with vomiting, prolonged bloody diarrhea, abdominal cramping and...
A 4-year-old male was admitted to the hospital with vomiting, prolonged bloody diarrhea, abdominal cramping and recent anuria. The patient appeared pale and his vital signs indicated he was hypertensive. Upon questioning, the boy’s father reported that their family had experienced acute self-limiting diarrhea earlier this week. The physician ordered a stool culture and the following laboratory results were reported three days later: Direct Stool exam: Fecal leukocytes: Negative Stool Culture: Negative for Salmonella, Shigella, and Campylobacter species The physician...
Concept Map: Acute Diverticulitis Tim Haute, a 57 year old stockbroker, has come to the gastroenterologist for...
Concept Map: Acute Diverticulitis Tim Haute, a 57 year old stockbroker, has come to the gastroenterologist for treatment of recurrent mild to severe cramping in his abdomen and blood streaked stool. You are the nurse doing his initial assessment. You findings include a mildly obese man (male pattern obesity) who demonstrates mild guarding of his abdomen with both direct and rebound tenderness, especially in the LLQ. Vital signs are 168/98, P 110, R 24, T. 98.4 and he is slightly...
Concept Map: Acute Diverticulitis Tim Haute, a 57 year old stockbroker, has come to the gastroenterologist...
Concept Map: Acute Diverticulitis Tim Haute, a 57 year old stockbroker, has come to the gastroenterologist for treatment of recurrent mild to severe cramping in his abdomen and blood streaked stool. You are the nurse doing his initial assessment. You findings include a mildly obese man (male pattern obesity) who demonstrates mild. guarding of his abdomen with both direct and rebound tenderness, especially in the LLO. Vital signs are 168/98, P 110, R 24. T. 98.4 and he is slightly...
Concept Map: Acute Diverticulitis Tim Haute, a 57 year old stockbroker, has come to the gastroenterologist for trea...
Concept Map: Acute Diverticulitis Tim Haute, a 57 year old stockbroker, has come to the gastroenterologist for treatment of recurrent mild to severe cramping in his abdomen and blood streaked stool. You are the nurse doing his initial assessment. You findings include a mildly obese man (male pattern obesity) who demonstrates mild guarding of his abdomen with both direct and rebound tenderness, especially in the LLC. Vital signs are 168/98, P 110, R 24, T. 98.4 and he is slightly...
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...
U Concept Map: Acute Diverticulitis Tim Haute, a 57 year old stockbroker, has come to the...
U Concept Map: Acute Diverticulitis Tim Haute, a 57 year old stockbroker, has come to the gastroenterologist for treatment of recurrent mild to severe cramping in his abdomen and blood streaked stool. You are the nurse doing his initial assessment. You findings include a mildly obese man (male pattern obesity) who demonstrates mild guarding of his abdomen with both direct and rebound tenderness, especially in the LLQ. Vital signs are 168/98, P 110, R 24, T. 98.4 and he is...
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...
Case #2 Patient Profile: A 75 year old male is admitted with nausea and vomiting as...
Case #2 Patient Profile: A 75 year old male is admitted with nausea and vomiting as well as colicky abdominal pain. He has been on bedrest after breaking his hip and has not had a bowel movement in 1 week. On exam you find his abdomen to be distended, diffusely tender and bowel sounds are high pitched and tinkle. After being admitted, his BP starts to drop and he becomes tachycardic. His urinary output has decreased. Critical Thinking Questions: 1....
Concept Map: Acute Diverticulitis Tim Haute, a 57 year old stockbroker, has come to the gastroenterologist for treatment of recurrent mild to severe cramping in his abdomen and blood streaked stool. You are the nurse doing his initial assessment. You findings include a mildly obese man (male pattern obesity) who demonstrates mild guarding of his abdomen with both direct and rebound tenderness, especially in the LLQ. Vital signs are 168/98, P 110, R 24, T. 98.4 and he is slightly...
Concept Map: Acute Diverticulitis Tim Haute, a 57 year old stockbroker, has come to the gastroenterologist for treatment of recurrent mild to severe cramping in his abdomen and blood streaked stool. You are the nurse doing his initial assessment. You findings include a mildly obese man (male pattern obesity) who demonstrates mild. guarding of his abdomen with both direct and rebound tenderness, especially in the LLO. Vital signs are 168/98, P 110, R 24. T. 98.4 and he is slightly...
Concept Map: Acute Diverticulitis Tim Haute, a 57 year old stockbroker, has come to the gastroenterologist for treatment of recurrent mild to severe cramping in his abdomen and blood streaked stool. You are the nurse doing his initial assessment. You findings include a mildly obese man (male pattern obesity) who demonstrates mild guarding of his abdomen with both direct and rebound tenderness, especially in the LLC. Vital signs are 168/98, P 110, R 24, T. 98.4 and he is slightly...
U Concept Map: Acute Diverticulitis Tim Haute, a 57 year old stockbroker, has come to the gastroenterologist for treatment of recurrent mild to severe cramping in his abdomen and blood streaked stool. You are the nurse doing his initial assessment. You findings include a mildly obese man (male pattern obesity) who demonstrates mild guarding of his abdomen with both direct and rebound tenderness, especially in the LLQ. Vital signs are 168/98, P 110, R 24, T. 98.4 and he is...
Case #2 Patient Profile: A 75 year old male is admitted with nausea and vomiting as well as colicky abdominal pain. He has been on bedrest after breaking his hip and has not had a bowel movement in 1 week. On exam you find his abdomen to be distended, diffusely tender and bowel sounds are high pitched and tinkle. After being admitted, his BP starts to drop and he becomes tachycardic. His urinary output has decreased. Critical Thinking Questions: 1....
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