Monday, February 18, 2019
Acute Diverticulitis Essay -- Diseases, Disorders
On my third sidereal day of clinical course I had an African America patient age 72, female, a retired high indoctrinate teacher who was admitted for an Acute Diverticulitis with Perforation. She is diabetic and had a medical and surgical archives of diverticulitis, High Cholesterol, Non-Insulin-Dependent Diabetes Mellitus (NIDDM), Hysterectomy, and Scoliosis. She has been on clear liquid diet since she was admitted then she was zero point by Mouth NPO for the CT scan for that day. When I got the assignment that I was going to be taking cargon of a patient with an piercing diverticulitis, the first thing on my mind was that she will be in a severe abdominal pain, high fever due to transmittance because my aunty had same disease. To my surprise, she claimed a 0 /10 on a 0-10 pain scale. Her blood sugar and vital signs were normal except for respiratory that was 22. All her laboratory test results were normal including WBC. Patient concern was that she couldnt have a bowel movement. She was medicated on Colace- a stool softener, morphia for pain, sulfran for nausea, and azactam an antibiotics. Diverticulosis is a disease from the diverticulum. This is when the colon wall is been outpunched through the mucosa. These argon small mucosal herniation bulging via smooth muscle and layers of the intestine along vasa recta formed opening in colons wall. Diverticulitis causes is unbosom unknown but develop after a micro or macro perforation of diverticulum. Peritonitis is an end result from an intestinal rupture in the case of a large perforation. Clinically, diverticulosis could be asymptomatic or symptomatic, they are uncomplicated with no evidence of bleeding or inflammation. Signs and symptoms includes palpable bulk and tenderness mostly i... ...an seven 6-ounce of glasses of fluid each day most especially for patients on pharmaceutical fiber supplements. Works CitedFerzoco, K.H. (2010). teeny bowel diverticulitis. The New England J ournal of Medicine. 327 302-7Juchems, A.A. (2010). Long-term management of diverticulitis in girlish patients. Diseases of the Colon & Rectum. 58627-629.Marinella, L.B. et al (2010). Acute Diverticulitis. The New England Journal of Medicine. 327 1521-1526Painter, P.V. (2009). Diverticulitis. Gastroenterology Clinics of pairing America. 18357-385.Spivak, W.K., & deSouza, J.M. (2008). Diverticulitis of the right colon. Digestive diseases and sciences. 49 350-358Wilcox, C.V. (2009). Limitation in the CT diagnosis of acute diverticulitis Comparison of CT, contrast enema, pathologic findings in 16 patients. American Journal of Roentgenology. 201381-385.
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