An 84- year-old -female who has a history of diverticular disease
An 84- year-old -female who has a history of diverticular disease presents to the clinic with left lower quadrant (LLQ) pain of the abdomen that?is accompanied?by with constipation, nausea, vomiting and a?low-grade?fever (100.20?F) for 1 day.
Having Trouble Meeting Your Deadline?
Get your assignment on An 84- year-old -female who has a history of diverticular disease completed on time. avoid delay and – ORDER NOW
On physical exam the patient appears unwell. She has signs of dehydration (pale mucosa, poor skin turgor with mild hypotension [90/60 mm Hg] and tachycardia [101 bpm]). The remainder of her exam is normal except for her abdomen where the NP notes a distended, round contour. Bowel sounds a faint and very hypoactive. She is tender to light palpation of the LLQ but without rebound tenderness. There is hyper-resonance of her abdomen to percussion.??
· The following diagnostics reveal:??
· Stool for occult blood is positive.
· Flat plate abdominal x-ray demonstrates a bowel-gas pattern consistent with an ileus.?
· Abdominal CT scan with contrast shows no evidence of a mass or abscess. Small bowel in distended.?
Based on the clinical presentation, physical exam and diagnostic findings, the patient is diagnosed with acute diverticulitis and she is admitted to the hospital. She is prescribed intravenous antibiotics and fluids (IVF). Her symptoms improved and she could tolerate a regular diet before she was discharged to home. ??
Discussion Questions:
1. Compare and contrast the pathophysiology between diverticular disease (diverticulosis) and diverticulitis.
2. Identify the clinical findings from the case that supports a diagnosis of acute diverticulitis. ?
3. List 3 risk factors for acute diverticulitis.
4. Discuss why antibiotics and IV fluids are indicated in this case.
Explanation & AnswerOur website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Order Now and we will direct you to our Order Page at Litessays. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Fill in all the assignment paper details that are required in the order form with the standard information being the page count, deadline, academic level and type of paper. It is advisable to have this information at hand so that you can quickly fill in the necessary information needed in the form for the essay writer to be immediately assigned to your writing project. Make payment for the custom essay order to enable us to assign a suitable writer to your order. Payments are made through Paypal on a secured billing page. Finally, sit back and relax.