Yvans Bobo
March 26, 2014
BSC2086: Human Anatomy II
Assignment: Digestive System
1) Richard is told by his family doctor that he is bleeding from either the colon or the rectum, and he should see a specialist as soon as possible. Which specialist should he go see?
•The specialist Richard should go visit to have an evaluation due to the predicaments he encounters with his colon & rectum is a proctologist generally diagnosing such areas also identifying symptoms occurring in the following organs: colon, rectum, & anus.
2) Mrs. Wong goes to the emergency room with the following symptoms: severe pain in the umbilical region, loss of appetite, nausea, and vomiting. While she was waiting to see a doctor, the pain moved to the lower right abdominal quadrant. What is the diagnosis and treatment?
•Due to the symptoms Mrs. Wong experiences in her lower right abdominal quadrant as she awaits evaluation in the emergency room. It is necessary that the doctor surgically removes her appendix diagnosing Mrs. Wong with appendicitis.
3) Jose is brought to the emergency room complaining of a burning sensation in his chest, increased salivation, and difficulty in swallowing. He is having difficulty breathing and feels the presence of a "lump in his throat." The diagnosis is gastroesophageal reflux disease. Explain.
•Jose symptoms is derived from a disorder called Gastroesophageal reflux disease (GERD) occurring in the digestive system with the consumption of food, irritating the esophagus generally causing notable clinical symptoms such as the following: vomiting, chronic cough, angina, & regurgitation immediately after the consumed food. Jose's experience of the lump in his throat is caused by esophageal sphincter pressure.
4) Sami has been h...
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...ties are very swollen. Explain why these changes have occurred.
•The forty five year old patient is diagnosed with the progressive cirrhosis inflaming the liver along with the parenchymal cells. The plain symptoms is manifested primarily because of the augmentation of edema internally in the lower abdomen.
10) A 45-year-old patient was admitted to the hospital with a diagnosis of cirrhosis of the liver. The nurse is observing him closely for the possibility of gastrointestinal bleeding. Why is this considered a possible complication?
•Hypertension occurrence within the hepatic portal system generally restricts the movement of blood sequentially minimizing scar tissue. Clinical symptoms such as vomiting blood occurs because the flow of blood linking the veins are miniature in size transporting immeasurable quantities of blood from within the body.
2. No evidence to suggest reflux esophagitis nor other changes suggesting eosinophilic esophagitis. Pathology pending.
In this article, you are informed about a disease that is occurring more often in our society. It is commonly referred to as “heartburn” but is more appropriately named acid reflux disease or gastroesophageal reflux disease (GERD). Most people suffer from this disease, but think nothing of it. Perhaps they have felt it after a big meal, lying down after eating, during pregnancy, or even when bending over. Most people feel that GERD occurs after eating spicy foods, when in fact the major cause of GERD is fatty foods and the quantity of foods eaten.
Chest auscultation reveals wheezes and decreased to absent breath sounds over the lower lung bases. Hyperresonance was noted upon percussion of the chest wall. Chest x-ray showed atelectasis in the lower lung bases. The patient has a cough with minimal amounts of clear sputum production.
Stomach: There was residual semi-digested food within the gastric antrum. There was deformity to the gastric anatomy likely due to his surgery. There was no obstruction to gastric outlet likely delayed emptying is functional. No gastric mucosal lesions were seen.
A 57-year-old female presents to her physician with changes in her bowel habits for the past few weeks. The patient reveals that she usually has soft bowel movements once a day. However, she has started passing pellet-like stools that alternate with loose stools. Her current symptoms are associated with sense of bloating and abdominal fullness. The patient denies seeing blood in her stool, weight loss, low-grade fever, a family history of colorectal cancer, or previous colon cancer screening. Abdominal examination reveals normal bowel sounds, no tenderness to palpation, and no evidence of a mass. Rectal examination is normal, and stool is negative for occult blood. Which of the following is the most appropriate next step in the management of
Lina was lying in bed, with head of bed elevated at about 50 degrees. Awake and alert, making noises and yelling when BP is being taken. She is receiving oxygen via nasal cannula at 3 lpm; none apparent respiratory or any other type of distress. Her skin is intact; however I noticed right hand swelling, possible IV infiltration, she has an IV in the affected hand that I did not see during my previous visit since she was wearing meetings. Hypoactive bowel sound, abdomen soft-non-tender. She continues with a Central line to right
The patient presented to our group is a 68 year old African American woman who has a history of hypertension, apparent asthma, hyperlipidemia, and osteoarthritis. She has had a hysterectomy and a family history of noncontributory. Home medications consist of Spironalactone 50mg p.o. daily. Patient lives at home with her family; she hasn’t had any form of tobacco in over 30 years and does not consume any form of alcohol. Client was in her typical state of health up until last Tuesday; which is when she began to have lower quadrant abdominal pain. Subjective data collected was “there was more pain on the right side than the left”. Patient also described the pain as “intermittent, sharp, and a crampy sensation”. Other contributing symptoms that she expressed were nausea, 1-2 days of vomiting, fever, chills, decreased appetite, and some urinary frequency. Upon admission an assessment was performed; vital signs are in acceptable range, temp is 98.5, HR 93, respiratory rate is 20, and BP is 113/62. Patient appears to be mildly ill, lungs are clear to auscultation bilaterally, abdomen is soft, mild lower quadrant abdominal tenderness.
Fry RD, Mahmoud N, Maron DJ, Bleier JIS. Colon and rectum. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 19th ed. St. Louis, Mo: WB Saunders; 2012:chap 52.
Patient describes months of an illness with symptoms waxing and waning, that includes a cough, coughing so hard that she pees on herself sometimes. That she has pain in her chest with the cough and at times get short of breath. This morning she got extra short of breath that she was playing with a relative and that prompted this visit. She notes with it rhinorrhea, ear pain, hoarseness, inability get sputum up, nausea and vomiting, and diarrhea which alternates with constipation. She has not eaten in a week. She notes ear pain bilaterally.
She has had no gross hematuria. She tells me that her stools are normal. There is no constipation or diarrhea. There does not seem to be any change in her pain in her back or her pelvic area when she has a bowel movement. There have been no fevers. She has had no body aches or chills and has otherwise been feeling okay. She does have a history of prior abdominal surgeries. She has had a hysterectomy with one ovary removed. She is not sure which ovary she still has remaining. She has also had a laparoscopic cholecystectomy in the past, as well. No history of kidney stones to her knowledge. She does have known diverticulosis based on her 2011 colonoscopy. She does not recall having pain like this in the past before. She has been using Advil, which she says does help some, but she thinks she is taking too much of it. She is using two or three tablets every three to four hours to help her with her
Healthy-looking young 20-year-old female no obvious things to note on observation. She essentially had full cervical range of motion, normal upper extremity range of motion and strength. Palpation had exquisite tenderness along the upper
CASE DESCRIPTION: 62 y.o. male with h/o ESRD currently on dialysis, DM II, known coronary artery disease s/p CABG x 3(6 years ago) presented to the ER with complaints of lower abdominal pain started one day before presentation associated with mild nausea but denies any episodes of vomiting. He describes pain is located in lower abdomen with no radiation and no aggravating or relieving factors. Prior to this presentation he was seen at a different ER with similar presentation around 12 hours ago and was discharged to home with a diagnosis of constipation. After using laxatives and having bowel movement as the pain was not subsiding and he came to St Vincent. Physical examination was unremarkable with the exception of tenderness to palpation in lower
An emergency department nurse is caring for a 44-year-old woman with LLQ abdominal pain and is brought to the emergency department by her husband. Explain what type of assessment is most critical for this patient, providing a rationale for your response. Discuss the questions the nurse would ask, prioritizing these questions from most concerning to least concerning. Use your Jensen (2014) text to support your rationale.
I was so clear about this because as I grew up listening to the discussion of my family regarding the health emergency as a 30 days old baby. My mother noticed a swelling in the left groin (an inguinal hernia) and rushed to a doctor, where they were
B. i ask that you should think about these precautions and take them into thought