Abdomen Pain Case Studies

onset with this disease. His primary complaint of lower left quadrant pain, is being felt

answer on how he acquired the disease. Certain foods and stress make the disease worse for

DS is a 57-year-old white female whit a history of diverticulitis who presents to the clinic for an evaluation of abdominal pain. She stated that she began experiencing left lower quadrant pain last night that worsened through the night and into this morning. The pain is described as dull, occasionally cramping, rated 7/10 in severity. The patient also stated that this pain is similar to previous episodes of diverticulitis. The patient stated that she took Gas-X this morning with little relief. She was able to move her bowels yesterday and this morning, both reportedly normal. The patient denied any fever, chills, chest pain, shortness of breath, nausea, vomiting, diarrhea, melena, hematochezia, or any other symptoms. At this time, there were

The patient you are evaluating is a 28-year-old male experiencing lower abdominal discomfort and frequent diarrhea (more than 15 bowel movements per day). He reports he has previously experienced episodes of loose stools but it seems to be getting worse. He also reports having lost 15 pounds in the past month. Both of ulcerative colitis and Crohn's Disease have many but because The colonoscopy reveals inflammation in the rectum, sigmoid colon, ascending colon, and ileum. ulcerative colitis is the chronic inflammation of the large intestine or colon. Crohn's disease commonly affects the area where the small intestine (ileum) joins the colon. Also, the symptoms of Crohn's include diarrhea that occurs for more than 6 weeks, abdominal pain and

Acute severe ulcerative colitis (ASUC) is now primarily a colon threatening condition with intensive medical management reducing the mortality to 1-2 % in specialist centres.1 The colectomy rate has remained high at 20-40 % over the last 30 years despite significant advances in medical therapy.2 ASUC occurs in 19 % of patients with ulcerative colitis (UC) during their disease course but accounts for 75 % of hospitalizations. 3 In these patients 55 % are on treatment with oral corticosteroids or an immunomodulator at the time of admission. 3 Oral corticosteroid although effective for induction of remission in mild-moderate UC is poor at maintaining that remission and comes with significant side effects in both the short and long term.4 Although these medications are widely used in inflammatory bowel disease little data is available on the effect of treatment prior to hospitalization on colectomy rate and this was the primary focus of this study.

Approximately 1 in 250 Australians have Inflammatory Bowel Disease (IBD), a chronic, relapsing, inflammation of the gastrointestinal tract that has debilitating effects on the individuals emotional, physical and social wellbeing. As a consequence of both the disease course and the attempts to manage IBD, multiple complications may arise, potentiating the burden of disease on the patient and healthcare system. Osteoporosis is one such complication that is highly prevalent in IBD sufferers compared to the general population. Osteoporosis affects patients with IBD at a younger age, and the incidence of osteoporotic fracture is 40-60% greater (1-6). Corticosteroid use in IBD patients is the strongest risk factor for development of osteoporosis (1, 7-10). It has been demonstrated that early diagnosis

III. REASON FOR SEEKING CARE (CC): 38 y/o female c/o abdominal pain throughout the entire abdominal cavity, states that she has always had abdominal discomfort, but the past 3 days’ pain has become unbearable. She describes the pain as a burning, churning throughout 8/10. Pain is intermittent c/o of sour stomach after meals accompanied by nausea, denies vomiting, diarrhea or anorexia, last bowel movement 4 days ago. States she moved bowels 2-3 times a week. She states this happened about 2 years she went to the emergency room, CT was done, no blockage, she was sent home without medications, CT contrast helped her move bowels at the time, symptoms eventually resolved on their own. Patient c/o of waking up feeling unrested, had trouble falling asleep ever since she could remember, wakes up frequently with difficulty getting back to sleep. She reports sleep disorder sometimes coincide with inability to get comfortable due to shoulder and neck pain especially in the winter months. Patient states the head and shoulder pain are the result of an MVI in 1995 where she had spinal nerve damage and bulging disc.

The patient is a 41-year-old gentleman who was recently discharged from the hospital 2 days ago. He presented back to the ED complaining of nausea, vomiting, abdominal pain and he presented here instead of going to his regularly scheduled hemodialysis. He also stated that he thought he had blood in his stools. He was also complaining of abdominal pain and constipation and requesting IV Dilaudid and IV Benadryl. CAT scan of the abdomen showed wall thickening around the rectum and distal sigmoid, procto-colitis was not excluded. Initially the attending physician has hoped to keep the patient in outpatient status, however he was admitted inpatient. The case was discussed with Dr. Lasheen, it was decided in view of his multiplicity of comorbidities

Client’s abdomen on inspection looks flat and symmetric, without bulging, or visible masses, or any asymmetric shapes. Umbilicus is in midline and inverted without any sign of discoloration, inflammation, or hernia. Further, skin is smooth with even homogenous color, and multiple pigmented circumscribed brown macular and popular nevi (smaller than 1 cm), there are no visible veins, and when skin gently pinched and released, it was immediately returning to original position. No any pulsation observed, like from aorta in the epigastric area, no respiratory movements of any waves or peristalsis are visible. Pubic hair was distributed evenly, in diamond shape. The client observed with benign facial expression and slow even respiration.

· Extreme pain is due to the hypoxic environment that results from the occlusion of capillary beds within tissues by sickled RBCs. This sickling is due to the polymerization of HbS in low-oxygen environments occluding tissues and causing local hypoxic environments. Inflammation is indicated as the trigger for this process in many cases. Experimental studies in transgenic HbS homozygote mice using hypoxia and inflammatory drugs showed occlusion of the postcapillary venules due to increased interactions between leukocytes, RBCs, and the vascular endothelium. In addition, precapillary obstruction is observed in sickled RBCs with especially high [HbS] and increased interactions between the vascular endothelium and RBCs. The tissue damage that results from the hypoxic environment leads to an increase in inflammation in the area once the tissue is repurfused with

Alleged disability: Irritable bowel syndrome (IBS), ulcerative colitis, chronic pain and fatigue, anemia, anxiety, depression, and insomnia. Additionally, she had an ulcer and blood loss. She reported that the chronic pain worsened the depression and fatigue and she was unable to finish her daily activities.

Depending on the stage of disease, four and more bowel movements per day in stage one is frequently reported. Diarrhoea accompanied with rectal bleeding it may present during the moderate stage of the disease, with urgency to defecate, malnutrition, increased temperature, plus decreased haemoglobin and increased erythrocyte sedimentation rate, as per the Montreal classification. (Digestive Health Foundation, 2013).

Appendicitis is a common condition characterized by inflammation of the appendix. Both CT and ultrasound scanning help doctors detect and properly diagnose it so they can perform the necessary abdominal surgery to treat it. Hudson Valley Imaging in Monroe, NY, provides exceptional diagnostic imaging services for clients in the surrounding areas, and their compassionate staff empowers patients by introducing them to the latest advancements in digital imaging.

An emergency situation I want to discuss occurred during my shift at work with a patient last year. I was hired as a new graduate registered nurse with absolutely no previous experience in any clinical setting. I had only 6 weeks on the medical surgical floor and I encountered a patient who came in to the hospital due to having epigastric pain and indigestion. The patient was a female who complained of pain after having a large meal during dinner. The patient confirmed that this has happened before, but the pain was not subsiding as usual with her tums. Not long after admission the patient looked ill, so I communicated the issue with a resident on the floor in charge of the patients care, but the resident was not concerned or in a rush. I had a bad feeling about the patient so I requested a rapid response team and a 12 lead.

Acute abdomen is a clinical condition characterized by severe abdominal pain of sudden onset of unknown etiology. Diagnosis and management of acute abdomen is quite challenging because of wide range of presenting clinical features of the abdominal pain. In this study we are trying to collect the data about the accuracy of ultrasound in diagnosis of acute abdomen.