INDICATIONS: This gentleman is a 46-year-old Caucasian male with a 3 day history of abdominal pain. However, over the past 24 hours his pain is located to the right lower quadrant and caused a significant amount of anorexia. He presented to the emergency department. CT…
Review Systems: Patients complains of a lower abdominal pain for the past week that apparently got much worse last night and by this morning wasn’t tolerable. She is also having some nausea and vomiting.…
REVIEW OF SYSTEMS: Patient complains of lower abdominal pain for the past week that apparently got much worse last night and by this morning was intolerable. She is also having some nausea and vomiting. Denies hematemesis, Hematochezia, and melena. She has had vaginal spotting over the past month with questionable vaginal discharge as well. Denies ueinary frequency, urgency, and hematuria. Denies arthralgias. Review of systems is otherwise essentially negative.…
HISTORY OF PRESENT ILLNESS: This 46-year old gentleman with past medical history significant only for degenerative disease of the bilateral hips, secondary to arthritis presents to the emergency room after having had 3 days of abdominal pain. It initially started 3 days ago and was a generalized vague abdominal complaint. Earlier this morning the pain localized and radiated to the right lower quadrant. He had some nausea without emesis. He was able to tolerate p.o earlier around 6am, but he now denies having an appetite. Patient had a very small bowel movement early this morning that was not normal for him. He has not passed gas this morning. He’s voiding well. He denies fevers, chills, or night sweats. The pain is localized to the RLQ without radiation at this point. He has never had a colonoscopy.…
Zachary’s Story is about a 12- year old boy who has been in an out of the hospital twelve times in the last two years. When Zach first started getting stomach aches, his mother, Sandra, thought it was just something he had eaten or maybe even the flu. Zach’s pain continued to increase; when he used the bathroom it was almost exclusively diarrhea, it smelled horrible, and he said it was painful. Zachary was vomiting blood, blood in the toilet, passing out during school, high fevers, and not eating. He would wake up at night crying from the pain. (Jenkins, 2013) He has seen a number of eight different doctors, and none of them knows exactly what is wrong with him, they only told him that it was probably and ulcer. An ulcer starts by eroding the mucosa of the G.I. tract wall. Absorption would not happen correctly, some of the ingested and secreted may seep out of the lumen. This also could create a pathway of entry for pathogens if the ulcer ate through to the muscularis mucosa and also lose some control of defecation. This is why Zachary may be bleeding when he uses the bathroom.…
Doctors have put healthy peoples fecal into a pill that helps a disease called Clostridium difficile, or C-diff. This disease cause abouot 14,000 to die every year. These fecal capsules have cured 27 patients with C-diff, while antibiotics failed to help. By taking this capsule, it can restore good bacterias and prevent reinfection. They are taken through colonscopies. It takes many pills to hold bacteria for treatment. An example of someone using the capsules, had her daughter as a donor, and she has felt better ever since. Huge potential is found in using these capsules, especially for hospitalized patients at risk and using normal…
* With westward expansion, there was a need for religion to change. People needed a meaningful faith and sense of belonging. Thus, sometimes religions needed to look gentler and owners of factories hastened moral reform.…
PHYSICAL EXAMINATION: The patient is a well-developed, well-nourished male who appears to be in moderate distress with pain and swelling in the upper left arm. VITAL SIGNS: Blood pressure 140/90, temperature 98.3 degrees Fahrenheit, pulse 97, respiration 18.HEENT: Head normal, no lesions. Eyes, arcus senilis, both eyes. Ears, impacted cerumen, left ear. Nose, clear. Mouth, dentures fit well, no lesions. NECK: Normal range of motion in all directs. INTEGUMENTARY: Psoriatic lesion, right thigh, approximately 1 mL in diameter. CHEST: Clear breath sounds bilaterally. No rales or rhonchi noted. HEART: Normal sinus rhythm. There is a holosystolic murmur. No friction rubs noted. ABDOMEN: Normal bowl sounds. Liver, kidneys, and spleen are normal to palpitation. GENITALIA: Tests normally descended bilaterally. RECTAL: Prostate 2+ and benign. EXTREMITIES: Pain and swelling noted above…
Even though many don’t talk about it, bowel movements are a normal part of everyday life and an important health topic that should not be ignored. Bowel movements are the natural way your body excretes waste, so that mean’s what comes out of you will serve as a reflection to what is going on inside of your body. Even though looking into the toilet isn’t something most people like to do, you should monitor your stools for any notable changes. Being knowledgeable about your digestive system and aware of your bowel movements will help you realize when something is not right. Your stools can be a big indictor of your overall health, so take advantage of it, as its one of the few reminders you get pretty regularly.…
REVIEW OF SYSTEMS: Patient complains of a lower abdominal pain for the past week that apparently got much worst last night and by this morning was intolerable. She is also having some nausea and vomiting. Denies hematemesis, hematokesa, and melena. She has had vaginal spotting over the past month with questionable vaginal discharge as well. Denies…
Which essential questions will you ask a pediatric patient or his or her caregiver when the presenting complaint is bloody diarrhea? Will these questions vary depending upon the child’s age? Why or why not? What clinical or historical findings will indicate the need for diagnostic studies and why? Which diagnostic studies will you initially order and why?…
Issues surrounding poop stains can never be over analyzed. I find my self constantly drawn back to the subject of poop stains. While it is becoming a hot topic for debate, it is important to remember that ‘what goes up must come down.’ Since it was first compared to antidisestablishmentarianism much has been said concerning poop stains by so called 'babies', whom I can say no more about due to legal restrictions. With the primary aim of demonstrating my considerable intellect I will now demonstrate the complexity of the many faceted issue that is poop stains.…
Constipation related to little amount of fiber diet and inadequate water intake manifested by dry and hard stool.…
An Empty Canvas Scarlet red is the fire blazing in my memories But also the extinguisher. Turquoise blue is the vastness of the sea I dream of But also the tiny cup of water I crush. Carnation pink is the hope and love I witness But also a cut of the heart. Clear is the shining hope I gaze…