Clinical Practice Essay
UNIVERSITY COLLEGE CORK
REFLECTIVE LEARNING LOG 2009/2010
CP2001
NURUL AZIRA SALIM
DR.LARRIE MARTIN
BRIDGE HOUSE SURGERY, CARRIGALINE
Case 1 – Gastrointestinal System
History
On 3rd of December 2009, I went to the Bridge House Surgery , Carrigaline for my Augmented Teaching Practice (ATP) attachment with Dr. Larrie Martin. This week focus was on the Gastrointestinal System. Thus, this is the history of Mrs L, a 53 years old lady who presented with an excruciating painful abdomen. Apart from the pain, she was also worried with the fresh blood passed in the toilet bowl. She also complained of losing her weight. This had been going for about the past 6 months until she finally decided to meet her general practitioner to do a check up. Upon the medical check up, her GP said that there was a lump sitting on the rectum. Only then, she found out that her unbearable painful abdomen was due to the lump compressing on her nerve. Her GP then decided to send a sample of the lump to see whether it is a tumour or something else. A few days later, when the test result had came out, her GP rang her. He asked her to meet him the next day. She went back to see her GP with mounting anxiety in her heart that only God knows. She was surprised to hear that the lump was confirmed as bowel cancer. Her GP then decided to refer her to the hospital for a surgical removal of the tumour. She agreed. She had two surgeries. Firstly, it was for the removal of the tumour while the second one is due to the adhesion that occur after the surgery. She has a colonostomy bag attached to her left flank. The colonostomy bag was given to her due to her lump condition that was way too down to the rectum, making it difficult for the surgeon to rejoin her colon. Besides that, she is suffering from emphysema which is now under control with the inhaler. She is on lithium as well for the manic depression that she had since 18 years old.
REFLECTIVE LEARNING LOG 2009/2010
CP2001
NURUL AZIRA SALIM
DR.LARRIE MARTIN
BRIDGE HOUSE SURGERY, CARRIGALINE
Case 1 – Gastrointestinal System
History
On 3rd of December 2009, I went to the Bridge House Surgery , Carrigaline for my Augmented Teaching Practice (ATP) attachment with Dr. Larrie Martin. This week focus was on the Gastrointestinal System. Thus, this is the history of Mrs L, a 53 years old lady who presented with an excruciating painful abdomen. Apart from the pain, she was also worried with the fresh blood passed in the toilet bowl. She also complained of losing her weight. This had been going for about the past 6 months until she finally decided to meet her general practitioner to do a check up. Upon the medical check up, her GP said that there was a lump sitting on the rectum. Only then, she found out that her unbearable painful abdomen was due to the lump compressing on her nerve. Her GP then decided to send a sample of the lump to see whether it is a tumour or something else. A few days later, when the test result had came out, her GP rang her. He asked her to meet him the next day. She went back to see her GP with mounting anxiety in her heart that only God knows. She was surprised to hear that the lump was confirmed as bowel cancer. Her GP then decided to refer her to the hospital for a surgical removal of the tumour. She agreed. She had two surgeries. Firstly, it was for the removal of the tumour while the second one is due to the adhesion that occur after the surgery. She has a colonostomy bag attached to her left flank. The colonostomy bag was given to her due to her lump condition that was way too down to the rectum, making it difficult for the surgeon to rejoin her colon. Besides that, she is suffering from emphysema which is now under control with the inhaler. She is on lithium as well for the manic depression that she had since 18 years old.