Bolus Emphysema Case Study

411 Words1 Page
bulb-icon

Recommended: Colon cancer research paper

REASON
CHIEF COMPLAINT: Followup.

BLANKLINE
This is a 46-year-old Afro-American male who returns to the clinic after last being seen in 08/2017 for constipation and abdominal bloating. He has a history of a mixed connective tissue disorder and bolus emphysema. When I saw the inmate in 08/2017, he had reported to me constipation, bloating, and intestinal gas. His history also suggested that he had a colonoscopy done elsewhere in 01/2015 that was normal. I had recommended a colonic motility study, Sitzmarks capsule. This is an ingested capsule that contains 24 radiopaque markers that were ingested on day one, by the inmate then five days later an abdominal x-ray is obtained. That x-ray that was obtained was negative for any retained radio opaque markers, this suggests normal colonic function, yet despite this test, the inmate continues to complain vehemently of constipation, bloating, and gas. He has taken multiple laxatives and none of these are effective. He is asking me for alternative therapies. …show more content…

We have documented that there is no weight loss, nausea, or vomiting. That despite his complaints of not being able to eat, he has not lost weight. He denies any blood per rectum. On physical examination, his abdomen is also benign, it is slightly rounded but firm. I do not detect any mass and there is no guarding or

Show More
Related

  • Case Study of a Patient with Chronic Obstructive Pulmonary Disease

    564 Words  | 2 Pages

    The presented case is of a patient named R.S. who has a smoking history of many years, which can be directly tied to his development of chronic bronchitis, a chronic obstructive pulmonary disease (COPD) specified as Type B. It is estimated that in 90% of chronic bronchitis or “blue bloaters”, cigarette smoking is the major cause. Chronic bronchitis involves persistent and irreversible airway obstruction, due to the constant inflammation of the bronchial mucosa, leading to hypertrophy and hyperplasia of bronchial glands. The latter exposes the individual to higher risks of bacterial infections; often colonization of organisms such as Streptococcus or Staphyloccocus pneumoniae can be exhibited. This is due to the lost or impaired function of mucociliary clearance action which results from the replacement of certain sections of ciliated columnar epithelium by squamous cells in the bronchi. (Copstead &Banasik, 546-547)

    Read More

  • SOAP Note: Advanced Client Assessment

    1030 Words  | 3 Pages

    HPI: MR is a 70 y.o. male patient who presents to ER with constant, dull and RUQ abdominal pain onset yesterday that irradiate to the back of right shoulder. Client also c/o nauseas, vomiting and black stool x2 this morning. He reports that currently resides in an ALF; they called the ambulance after his second episodes of black stool. Pt reports he drank Pepto-Bismol yesterday evening without relief. Pt states that he never experienced similar symptoms in the past. Denies any CP, emesis, hematochezia or any other associated symptoms at this time. Client was found with past history gallbladder problems years ago.

    Read More

  • COPD Case Studies

    1146 Words  | 3 Pages

    R.S. has chronic bronchitis. According to the UC San Francisco Medical Center “Chronic bronchitis is a common type of chronic obstructive pulmonary disease (COPD) in which the air passages in the lungs — the bronchi — are repeatedly inflamed, leading to scarring of the bronchi walls. As a result, excessive amounts of sticky mucus are produced and fill the bronchial tubes, which become thickened, impeding normal airflow through the lungs.” (Chronic Bronchitis 2015) There are many things that can be observed as clinical findings. R.S. will have a chronic cough that has lasted from 3 months to two years or more, and a lot of sputum. The sputum is due to

    Read More

  • The Use of BiPAP on COPD Patients

    939 Words  | 2 Pages

    Introduction BiPAP is a form of noninvasive mechanical ventilation used in patients with acute respiratory failure. Many of these patients go on noninvasive ventilation due to COPD exacerbations that are infectious, with congestive heart failure, and ventilator parameters based on their clinical assessment and changes in arterial blood gases. Two different studies were conducted on COPD patients, using a BiPAP machine to improve exacerbations and their activities of daily living. There are many positive outcomes for using these noninvasive ventilators, however when used incorrectly, negative outcomes or no changes at all are always possible. Positive Use for COPD Exacerbations

    Read More

  • COPD Case Study

    1739 Words  | 4 Pages

    The purpose of this essay is to explore nursing care priorities for a patient with a common health condition. A common health condition is a disease or condition which occurs most often within a population. The author has chosen scenario 3 for this essay and will describe the nursing assessment and care planning provided to a patient with Chronic Obstructive Pulmonary Disease (COPD). The WHO definition of COPD is a lung disease which has a chronic obstruction of the airways that impedes normal breathing and is not fully reversible (). According to), there are estimated to be over 3 million people in the UK with COPD. It is common in later life and there are approximately 25,000 deaths each year, with 15% of COPD being work related (The identity of the patient will remain anonymous in adherence with the Nursing and Midwifery Council, Code of Conduct on patient confidentiality (). However, the patient will be referred to as Mr B in this essay. The author has chosen the priority of eating and drinking for Mr B. Patients with COPD are at increased risk of malnutrition and nurses must make certain they screen patients and offer advice or refer as necessary (). If this priority is managed well it will have a positive effect on the other priorities (, 2012). In accordance with NICE Guideline 101 (), the treatment and care provided should consider each persons’ individual requirements and preference. Care and treatment should take into account people’s individual needs and choices. To allow people to reach informed decisions there must be good communication, supported by evidence-based practice (). This essay will provide an evidence based discussion on how care will be implemented in relation to Mr B and his eating and drin...

    Read More

  • Kidney Stones Research Paper

    521 Words  | 2 Pages

    This can be investigated by a range of procedures. These include a CT scan of the kidneys and bladder in conjunction with an abdominal X-ray. Results obtained from the diagnosis and tests enable judgments’ relating to the stage to which the problem has developed and will inform decisions on the appropriate treatment

    Read More

  • Respiratory Diseases: Emphysema

    612 Words  | 2 Pages

    The simple act of breathing is often taken for granted. As an automated function sustaining life, most of us do not have to think about the act of breathing. However, for many others, respiratory diseases make this simple act thought consuming. Emphysema is one such disease taking away the ease, but instead inflicting labored breathing and a hope for a cure.

    Read More

  • A Discussion of Emphysema and COPD

    1252 Words  | 3 Pages

    Breathing in and out is an innate behavior that we are born with; also, it is a behavior that people take for granted. Let’s say, people who smoke think a cough, or a cough with phlegm is a sign that they are about to get a cold, but then again it can be a sign of a potential health problem like emphysema, asthma, or tuberculosis. People smoke for different reasons; nevertheless, it is an addiction that they can recover from. It may take them several tries to quit smoking, but they can quit. People don’t think about the harm that they are putting on their lungs and alveoli when they put a cigarette to their mouth. For example, many long time smokers are diagnose with emphysema every minute. Emphysema is an example of a chronic obstructive pulmonary diseases (COPD) that has causes numerous deaths and disabilities in the United States of America. Also, smoking is the number one causes of death in developed countries.

    Read More

  • Nursing Diagnosis

    1434 Words  | 3 Pages

    J.P., a 58 year old female, presents to the Emergency Room on March 18th. She has a past medical history of cervical cancer, atheroembolism of the left lower extremity, fistula of the vagina, peripheral vascular disease, neuropathy, glaucoma, GERD, depression, hypertension, chronic kidney disease, and sickle cell anemia. She complains of right lower extremity pain accompanied by fatigue, a decreased appetite, increased work of breathing, burning urination, and decreased urine output for three days. Upon admission, a complete physical assessment was performed along with a blood and metabolic panel. The assessment revealed many positive and negative findings.

    Read More

  • Diabetes Case Summary

    798 Words  | 2 Pages

    The patient continues living alone. She is alert and oriented has multiple diagnoses of diabetes, depression, anxiety, fibromyalgia, Rheumatoid arthritis and HTN. There is a lot that has happened to this patient during this period. In the month of may 5/12/2016 she woke up with left hand 2 digit severe pain and discoloration ,she refused to go the ER instend she visits urgent care in Springfield and was ordered lab test that showed she had an increase in uric acids in the area . The following day 5/13/2016 she had an appointment with liver specialist DR , Samuel's (Hepatologist), he ordered a new set of labs. Results showed elevated Liver Function Tests, showed increases in potassium , increase protein , blood sugar were at 400 mg/dl. pt went home terrified as the doctor mentioned her liver is getting worsening and becoming more dysfunctional. On 5/16/2016 she had a following up with PCP and the doctor also mentioned that her kidney and liver functions have worsened. She has been taken off Metformin for and her Lantus was increased to 25 units at bedtime. Patient has also been instructed to start on a low sodium diet and she continues getting educated on proper diet required. On 5/27/2016 during skilled visit patient was found very lethargic and drowsy, skin pale, normal temperature to touch,s\n tried to arouse the patient, she woke up for a few minutes then fell back to

    Read More

  • Congenital Lobar Emphysema Case Study

    972 Words  | 2 Pages

    II. Congenital Lobar Emphysema also known as Congenital Lobar Over-inflation (CLO) and Infantile Lobar Emphysema is a rare congenital respiratory anomaly related to the hyperinflation of one or more of the pulmonary lobes. It is a condition in which the neonate or infant can accumulate more air into the lung than what can be utilized. This condition results in air trapping, and air leakage out into the pleural space and in most cases resulting in respiratory distress. The lobar is over distended and there is displacement of the mediastinum to the opposite side with the other lung undepressed. It is frequently detected weeks after birth or in early infancy. Congenital Lobar Emphysema is more common in boys though

    Read More

  • Qtc Case Study Jorge Rinse

    213 Words  | 1 Pages

    Jorge did not have any constipation episodes this year. He experienced one episode of diarrhea on 6/8/17 that required the administrator of Immodium 2 mg cap PO once; Miralax was held, then restarted on 09/25/17. NO other GI related symptoms were reported or documented. His bowel elimination at present being treated with Miralax 17 gram orally, High fiber diet, and 2 tbsp. Ground Flaxseeds mixed with food at lunch.

    Read More

  • Empacho: Gastrointestinal Problems or simply Indigestion

    1424 Words  | 3 Pages

    However, with this element of the conditioned mentioned, the focus of this paper will be on empacho as it affects the stomach and intestines while also looking at the various treatments for it. How is empacho treated? There are several ways that empacho of the gastrointestinal tract can be treated. Th... ...

    Read More

  • Emphysema Research Paper

    211 Words  | 1 Pages

    There is no cure for emphysema but there are many treatments that can help relieve symptoms. The types of treatment are medications, therapy, surgery, and lifestyle and home remedies. Medications such as bronchodilators and inhaled steroids are used to help alleviate the shortness of breath that is caused from emphysema. Antibiotics are also used when emphysema lead to an infection such as bronchitis or pneumonia. Two types of therapy that can be used are pulmonary rehabilitation and nutrition therapy. Pulmonary rehabilitation teaches these patients breathing techniques that can be used to help decrease shortness of breath. Nutrition therapy is used to help these patients learn appropriate nutrition. Depending on the stage of emphysema a patient

    Read More

  • Patient With Acute Appendicitis

    2110 Words  | 5 Pages

    This was his second episode since 10 days ago where he develop the same pain at his right flank. He suddenly experienced severe pain 8 hours before admission when the pain shifts to his right lower quadrant of his abdomen. The onset is at 6.30 am before worsening at 10 p.m to 2 p.m. He described the pain as continuous sharp pain and gradually increased in severity. There is no radiation of the pain. The pain was exaggerated on movement and touch. There were no relieving factor and he scale the severity as 7/10. He experienced fever for 1 day prior to admission. It was a mild grade continuous fever. He does not experienced chills and rigor. The patient does not experience any nausea or vomiting, no dysphagia, no pain during micturition and no alteration in bowel habit. He experienced loss of appetite but not notice any weight loss.

    Read More

More about Bolus Emphysema Case Study

Open Document