HISTORY OF PRESENT ILLNESS: This 46-year old gentleman with past medical history significant only for degenerative disease of the bilateral hips, secondary to arthritis presents to the emergency room after having had 3 days of abdominal pain. It initially started 3 days ago and was a generalized vague abdominal complaint. Earlier this morning the pain localized and radiated to the right lower quadrant. He had some nausea without emesis. He was able to tolerate p.o earlier around 6am, but he now denies having an appetite. Patient had a very small bowel movement early this morning that was not normal for him. He has not passed gas this morning. He’s voiding well. He denies fevers, chills, or night sweats. The pain is localized to the RLQ without radiation at this point. He has never had a colonoscopy.…
Christopher Ruiz is a 54-year-old man who come in today for an assessment of abdominal pain and Cholelithiasis. The patient has a history of a cervical cone biopsy. The patient’s procedure was difficult and it was necessary a concomitant or subsequent laparoscopy. After the operation, the patient developed right lower quadrant abdominal pain. The pain has settled slowly, but…
o Initial consultation for a 78-year-old woman with unexplained weight loss, abdominal pain, and rectal bleeding. Comprehensive history and examination…
In addition, it can also be accompanied with nausea, vomiting, fever, leukocytosis, and abdominal muscle guarding (Huether & McCance, 2012). In the case of client M.E., when she first was admitted by the emergency department she displayed abdominal pain and rebound tenderness in the right upper abdominal quadrant. Additionally, she was experiencing some nausea; however, her abdomen was non-distended, and assessment findings revealed her having a body temperature within defined limits. In addition, her laboratory findings indicated a high white blood cell count, which is a common finding associated finding with cholecystitis due to the pathophysiological process explained above. Though, in order to confirm client M.E.’s medical diagnosis of cholecystitis, and abdominal ultrasound was ordered. Results of the abdominal ultrasound illustrated a distended gallbladder with gallstones measuring up to 1.7 cm, which in fact confirmed the diagnosis of…
Patient is 63 year old African American/Black male. Patient was brought in emergency department. The patient wife said he has been complaining of unusual stomach pains. According to the patients wife before bringing him in to the emergency room he was vomiting blood.…
Nausea, vomiting and altered bowel sounds are some signs of intestinal obstruction. The intestinal obstruction is when the small or large intestine becomes blocked (partial or completely). The cause could be from previous surgery, ileus or certain kind of medication.…
Initial consultation is performed for a 78-year-old woman with unexplained weight loss, abdominal pain, and rectal bleeding. A comprehensive history and examination is performed.…
We as nurses have a common goal of educating the people that we care for and teaching them in detail about disease management and prevention. Diverticular disease is characterized by small pouches in the colon. Most people do not exhibit symptoms, but some will have mild symptoms such as cramps, bloating or constipation. If the pouches become inflamed or infected, they develop into a condition known as diverticulitis. The most common symptom is abdominal pain usually left…
Miss F is 23 year old Hispanic female who presents today complaining of sharp, epigastric abdominal pain of 3-4 months duration. The pain has not changed or worsened acutely;. The pain is located in the epigastric region and left upper quadrant of the abdomen. It does not radiate. The pain is relatively constant throughout the day and night but does vary in severity. She rates the pain as 5/10 and remains the same. She…
The Patient has a gastric ulcer. Most distressing symptom of gastric ulcers is gnawing epigastric pain.Dark stools and pale skin signs of a bleeding ulcer.…
As soon as the history and head-to-toe assessment were completed nursing priorities focused on alleviating pain, preventing infection and urinary obstruction, and providing information about disease process and treatments. Physical assessment data included: vital signs B/P 87/51, HR 110, T 99.7 F; weight 160lb, height 5’8”. MK presented to the ED with acute severe right colicky flank pain that radiated into the abdomen and lower back, guarding his abdomen, and moaning. MK rated his pain as a 10 on a scale of 0 to 10. Admission labs included hematuria, dark urine color and specific gravity of 1.034, casts and crystal, calcium level was 500mg/24hr. The patient was assessed for possible appendicitis, urinary tract infection, and…
The anus is a short complex termination of the gastrointestinal tract. Macroscopically it is composed of the anal canal, anal verge, and anal margin. Surrounding these structures is a group of muscles that are essential for maintenance of fecal continence, and injuries to this complex area can lead to devastating consequences. The anal canal anatomically extends from the dentate line to the anal verge. Functionally, however, extends from the proximal aspect of the internal anal sphincter (IAS)/levator ani muscle to the anal verge, a length of approximately 4 cm. The anal canal includes the dentate line and is surrounded by the IAS and external anal sphincter (EAS) (Thompson-Fawcett et al., 1998).…
History of present illness: On 9/13/09 patient presented with severe ABD pain in ED. A computed tomography Scan (CT-Scan) of the abdomen and pelvis with contrast was performed; showing severe pancreatitis with prominent pancreas…
Review Systems: Patients complains of a lower abdominal pain for the past week that apparently got much worse last night and by this morning wasn’t tolerable. She is also having some nausea and vomiting.…