Upper Gi Bleeding
Case Study 1 NURS7702
Pathophysiology:
During the course of gastrointestinal disorder, different patients with different diagnosis have similar symptoms. To understand the different pathophysiology in this case scenario, possible medical diagnosis of Mrs. M. symptoms will be defined to distinguish the difference of each one. Mrs. M symptoms could lead to several possible gastrointestinal disorders such as irritable bowel syndrome, inflammatory bowel disease, coeliac disease and may be tropical sprue or parasitic disorder. The physician diagnosed and treated Mrs. M with irritable bowel syndrome probably because of the common symptoms of the gastrointestinal disorders she had experienced such as chronic diarrhoea, abdominal distention, increased flatulence, and abdominal cramps. Irritable bowel syndrome (IBS), can be defined as a combination of abdominal pain or discomfort and altered bowel habit. The alteration in bowel habit can take the form of altered stool frequency (ie, diarrhoea or constipation) or altered stool form in terms of thin, overly hard and firm, or soft (and even liquid) stools. Symptoms that are commonly associated with IBS include passage of clear or white mucus with a bowel movement, sensation of incomplete evacuation after having a bowel movement, and relief of abdominal pain or discomfort transiently after defaecation and abdominal bloating. However, weight loss, hypoalbuminemia and being anaemic not usually seen in IBS patients. | | | | | | | | | | | | |
The symptoms of inflammatory bowel disease could also cause Mrs. M symptoms. The term inflammatory bowel disease (IBD) is ulcerative colitis and Crohn 's disease. Because the two signs and symptoms are very similar, distinguishing the two diseases can be difficult. The only definitive two forms between the two are:- ulcerative colitis only affects the colon whereas the crohns disease mostly often occurs the terminal ileum and anywhere in the GI tract. These can also
Pathophysiology:
During the course of gastrointestinal disorder, different patients with different diagnosis have similar symptoms. To understand the different pathophysiology in this case scenario, possible medical diagnosis of Mrs. M. symptoms will be defined to distinguish the difference of each one. Mrs. M symptoms could lead to several possible gastrointestinal disorders such as irritable bowel syndrome, inflammatory bowel disease, coeliac disease and may be tropical sprue or parasitic disorder. The physician diagnosed and treated Mrs. M with irritable bowel syndrome probably because of the common symptoms of the gastrointestinal disorders she had experienced such as chronic diarrhoea, abdominal distention, increased flatulence, and abdominal cramps. Irritable bowel syndrome (IBS), can be defined as a combination of abdominal pain or discomfort and altered bowel habit. The alteration in bowel habit can take the form of altered stool frequency (ie, diarrhoea or constipation) or altered stool form in terms of thin, overly hard and firm, or soft (and even liquid) stools. Symptoms that are commonly associated with IBS include passage of clear or white mucus with a bowel movement, sensation of incomplete evacuation after having a bowel movement, and relief of abdominal pain or discomfort transiently after defaecation and abdominal bloating. However, weight loss, hypoalbuminemia and being anaemic not usually seen in IBS patients. | | | | | | | | | | | | |
The symptoms of inflammatory bowel disease could also cause Mrs. M symptoms. The term inflammatory bowel disease (IBD) is ulcerative colitis and Crohn 's disease. Because the two signs and symptoms are very similar, distinguishing the two diseases can be difficult. The only definitive two forms between the two are:- ulcerative colitis only affects the colon whereas the crohns disease mostly often occurs the terminal ileum and anywhere in the GI tract. These can also
References: Ciclitira, P. (2009). Management of Celiac disease in adults. Uptodate.com Fredman, S Nightingale, A. (2006). Treatment and management of inflammatory bowel disease. Primary Health Care. Vol. 16, No. 4. Page 27-32. Cambridge, UK. Podovei, M & Kuo, B. (2006). Irritable Bowel Syndrome: A Practical Review. Sothern Medical Journal. Vol. 99, No. 11, page1235-1242. Lippincott Williams & Wilkins. Boston, USA Rayhorn, N Smith, G. & Watson, R. (2008). Gastrointestinal Nursing. Wiley-Blackwell Talley, N