Diverticulitis Case Study
Presentation
A 46 year old grossly obese man was seen in the Emergency Room on 9/16/08.
His chief complaint was lower left quadrant pain, vomiting, and frequent urination.The patient also admits to constipation, nausea, and a fever of 102.2.
He admits to a 25 pound weight gain over the last few months. The patient was evaluated and diagnosed with diverticulitis. During his 3-day hospital stay, he has recieved IVfluids, IV antibiotics, and morphine for pain.
History
Past Medical History: The patient has a remarkable medical history, a healthy individual, up untill 7/15/06 when he under went a laparoscopic cholecystectomy, and was admitted.
Diet History/Vitamin and Mineral Supplements: The patient had no specific routine diet, but states with his busy life cycle, he has been eating fast foods while being out on the road. (high fat, high salt, high calorie) The patient states he eats up to atleast four times a day. He takes a multivitamin daily. While placed in the hospital, the patient is currently NPO with the exception of ice chips. Social History: The patient is a traveling salesmen for a prominent company in the northeast. He spends a good portion of his time on the road. He is currently divorced and the father of two boys, ages 6 & 9. He smokes up to a pack of cigarettes a day, denies abusing drugs, but admits to consuming alcohol several times a week.
Physical Examination Physical Exam
Vital Signs
Temperature: 102.2 The patient had a normal
Heart rate: 118 (tachycardia) physical exam with the
Respiration: 26 (tachypnea) exception of:
Blood pressure: 174/80 mm Hg Temp: fever of 102.2
Height: 5'10" General:
A 46 year old grossly obese man was seen in the Emergency Room on 9/16/08.
His chief complaint was lower left quadrant pain, vomiting, and frequent urination.The patient also admits to constipation, nausea, and a fever of 102.2.
He admits to a 25 pound weight gain over the last few months. The patient was evaluated and diagnosed with diverticulitis. During his 3-day hospital stay, he has recieved IVfluids, IV antibiotics, and morphine for pain.
History
Past Medical History: The patient has a remarkable medical history, a healthy individual, up untill 7/15/06 when he under went a laparoscopic cholecystectomy, and was admitted.
Diet History/Vitamin and Mineral Supplements: The patient had no specific routine diet, but states with his busy life cycle, he has been eating fast foods while being out on the road. (high fat, high salt, high calorie) The patient states he eats up to atleast four times a day. He takes a multivitamin daily. While placed in the hospital, the patient is currently NPO with the exception of ice chips. Social History: The patient is a traveling salesmen for a prominent company in the northeast. He spends a good portion of his time on the road. He is currently divorced and the father of two boys, ages 6 & 9. He smokes up to a pack of cigarettes a day, denies abusing drugs, but admits to consuming alcohol several times a week.
Physical Examination Physical Exam
Vital Signs
Temperature: 102.2 The patient had a normal
Heart rate: 118 (tachycardia) physical exam with the
Respiration: 26 (tachypnea) exception of:
Blood pressure: 174/80 mm Hg Temp: fever of 102.2
Height: 5'10" General: