Case Study Digestion
Digestion Case Study
State the Case:
Twenty year old Mary reports to the emergency room with fever, severe pain concentrating at the right iliac region, moving to the umbilical region, nausea and the inability to eat without throwing up. Diagnose, treat and explain the condition to her mother.
S.O.A.P.
Subjective:
The patient presents as a 20 year old female with a fever, severe abdominal that comes and goes, but usually last a few hours at a time. She also complains of nausea and the inability to eat without throwing up. Patients states that she no other medical problems, current medications, or allergies.
Objective:
Patient is alert and oriented upon examination. Patient appears to be jaundice, skin and whites of her eyes …show more content…
Procedure involves local anesthetic and medicine through the vein to help relax the patient. Generally, patients are awake but so sedated that there is no discomfort or memory of ERCP. With ERCP, the endoscope is passed through the mouth, esophagus, and stomach into the duodenum (first part of the small intestine). A small plastic tube, called a catheter, is passed through the endoscope and manipulated by the gastroenterologist into the bile ducts and pancreatic ducts. Dye is injected and x-ray pictures are obtained. Upon further confirmation of stones, instruments are put through the endoscope in order to remove gallstones. ERCP often can avoid the need for surgery. Antibiotics will be given intravenously prior to ERCP. After the test, patient will be monitored for 30-60 minutes until most of the effects of the medication have worn off. Patients will be allowed to resume normal diet. May be kept overnight in the hospital for observation and administration of further …show more content…
The cholesterol or other substances turn into small sharp crystals which eventually form larger stones. When the gallbladder or its ducts contract, the sharp crystals cause agonizing pain which radiates throughout the right thoracic region. Many people have gallstones for years without any symptoms whatsoever. Symptoms from gallbladder disease usually consist of upper right quadrant abdominal pain especially after eating meals. Sometimes nausea and vomiting occur. When the stones from the gallbladder become lodged in the duct (common bile duct) that allows flow of bile from the gallbladder, the lodged stones may cause severe pain and fever and need to be removed. This also causes obstructive jaundice. Bile duct blockage prevents both bile salts and bile pigments from entering the intestine. The result is yellow bile pigments accumulating in the blood and eventually depositing in the skin. Anti-biotics and removal of the obstruction (gallstones) will treat this
State the Case:
Twenty year old Mary reports to the emergency room with fever, severe pain concentrating at the right iliac region, moving to the umbilical region, nausea and the inability to eat without throwing up. Diagnose, treat and explain the condition to her mother.
S.O.A.P.
Subjective:
The patient presents as a 20 year old female with a fever, severe abdominal that comes and goes, but usually last a few hours at a time. She also complains of nausea and the inability to eat without throwing up. Patients states that she no other medical problems, current medications, or allergies.
Objective:
Patient is alert and oriented upon examination. Patient appears to be jaundice, skin and whites of her eyes …show more content…
Procedure involves local anesthetic and medicine through the vein to help relax the patient. Generally, patients are awake but so sedated that there is no discomfort or memory of ERCP. With ERCP, the endoscope is passed through the mouth, esophagus, and stomach into the duodenum (first part of the small intestine). A small plastic tube, called a catheter, is passed through the endoscope and manipulated by the gastroenterologist into the bile ducts and pancreatic ducts. Dye is injected and x-ray pictures are obtained. Upon further confirmation of stones, instruments are put through the endoscope in order to remove gallstones. ERCP often can avoid the need for surgery. Antibiotics will be given intravenously prior to ERCP. After the test, patient will be monitored for 30-60 minutes until most of the effects of the medication have worn off. Patients will be allowed to resume normal diet. May be kept overnight in the hospital for observation and administration of further …show more content…
The cholesterol or other substances turn into small sharp crystals which eventually form larger stones. When the gallbladder or its ducts contract, the sharp crystals cause agonizing pain which radiates throughout the right thoracic region. Many people have gallstones for years without any symptoms whatsoever. Symptoms from gallbladder disease usually consist of upper right quadrant abdominal pain especially after eating meals. Sometimes nausea and vomiting occur. When the stones from the gallbladder become lodged in the duct (common bile duct) that allows flow of bile from the gallbladder, the lodged stones may cause severe pain and fever and need to be removed. This also causes obstructive jaundice. Bile duct blockage prevents both bile salts and bile pigments from entering the intestine. The result is yellow bile pigments accumulating in the blood and eventually depositing in the skin. Anti-biotics and removal of the obstruction (gallstones) will treat this