Case Study Of Appendicitis

INTRODUCTIONThis is a case study concerning a patient presenting with low abdominal pain, frequent micturation and dysuria. I will discuss the consultation and show how I used the problem solving consultation style detailed by Alison Crumbie. This involves listening to the patients' initial complaint and developing hypothetical diagnosis. Focused questioning and clinical examination and investigations will then be used to eliminate some of the initial hypotheses. The patients' perspective of their problem will be addressed and the synthesis of gathered information will enable the practitioner to arrive at a differential diagnosis and to agree on a treatment plan with the patient so that they can manage their problem.

A 46 year old grossly obese man was seen in the Emergency Room on 9/16/08.

The appropriate assessment of patients prior to surgery to identify coexisting medical problems and to plan peri-operative care is of increasing importance. The goals of peri-operative assessment are to identify important medical issues in order to optimise their treatment, inform the patient of the risks associated with surgery, and ensure care is provided in an appropriate environment secondly to identify important social issues which may have a bearing on the planned procedure and the recovery period and to familiarise the patient with the planned procedure and the hospital processes.(American Society of Anaesthesiologists)

On my second day of clinical experience this week I focused a lot on time management and documentation for a full patient load, and also on the admission and discharge process. After taking report on all three of our patients, I began my initial morning assessments. It was clear that our 8-year-old post-operative appendectomy was ready to be discharged. My priorities were assessing her incision sites and ensuring the presence of bowel sounds, as well as making sure she did not have a fever and was tolerating a general diet. After completing my assessment and documenting in the computer, we

Use at least two patient identifiers when providing care. Double checking of ID bands and ID/Driver’s license of patient if possible. Using labels to mark all materials /items needed for the procedures. A two person check off procedure must be implemented. Items requiring labeling include: patient records, signed consents, and all assessments, diagnostic tests and x-rays. Also included should be any item that is needed for the procedure (blood products, devices, and equipment). Using a matching system, so that all items in the procedure area are matched to the patient. The matching system must be completed by a minimum of two staff members. These staff members should include a qualified staff member, nursing staff involved in the procedure, recovery room staff, and discharge staff.

At this particular moment, when Melody is in the hospital facing interviews and examinations, it is important for her counselor to develop a working alliance with her. The counselor must quickly establish some form of trust through positive regard and patience and then must be completely honest and clear with Melody about what she faces both today with her interviews and examinations and in the near future with the emotional and physical reactions she will have to her trauma.

3 diagnoses for Miss potts who just an appendectomy are her pain level is 9 out of 10, deep berating and coughing. For her goals are painless form her appendectomy surgery, make her comfortable feeling staying in bed and trying to encourage for fluids for QNS (quantity not sufficient) lab. Intervention for miss potts is provide ice bag for the pain, keep at rest in semi-fowler’s position for make her comfortable feeling. Monitor Input and output for urine; provide the clear liquids in small amount s for QNS (quantity not sufficient).

3. Check nutritional labs every shift to ensure patient is getting proper nutrition through the tube feedings (specifically electrolytes, proteins, glucose, carbohydrates and lipids). Assess weight and signs of malnutrition daily (brittle hair, bruises, dry skin, pale skin, wasting,

cross into surgery with her, and the nurse confirmed that she could. The client’s anxiety appeared

In this study, out of 112 patients operated for acute non perforated appendicitis, 72 patients were male and 40 patients were female, a ratio of 1.8:1. The patients' age ranged from 18 to 55 years with a mean age of 26 years, the majority of cases lie in a range between 20-32 years. As shown in Table 1, there is no significant difference regarding patients' age, sex, medical comorbidities (diabetes, liver disease, renal disease, hyperlipidemia, heart disease), fever, leukocytosis, radiologic findings (appendiceal diameter, presence of free fluid) or operative time between the two groups.

I could then see how quickly an apparently harmless situation could become a tragic accident, and it was frightening. While it was serious in this stage, the next morning left me feeling hopeful about Sally’s condition. My joy rose following my parents’ visit to the vet, after which they reported Sally seeming healthier. My sorrow had evaporated, especially the next week. Monday, four days after she was rushed to the vet, Sally was permitted to return home. She had stitches, which concerned me, and her head was shaved, but she otherwise looked fine. While Sally would remain mostly unchanged by this event, this miracle was life-changing for

Within this assignment a scenario has been chosen to discuss the elements of clinical decision making made by nurses. To justify the decisions which have been made, a critical appraisal of the available information will be utilized. The scenario focuses upon Joe (See Appendix), an infant who was born prematurely at twenty-eight weeks gestation and is diagnosed with short gut syndrome and is close to being discharged. There many needs within the scenario which have been identified, such as medication training for parents, Joe 's physiological development, travel issues but this assignment will concentrate on managing an ileostomy, discharging Joe on Total Parenteral Nutrition (TPN) and social support for the home environment. The aim of the nurses clinical decisions will be to prevent infection, skin breakdown and re-admission, therefore

When you’re young, the most common injuries are: a broken arm, a sprained ankle, or a skinned knee and elbow. Not a ruptured appendix. In fact, the chance of developing appendicitis is about seven to fourteen percent. Although it is most prevalent in children and young adults, and one of the most common operations today, it was unfamiliar to my parents.

A 54-year-old man presents acutely with anterior NSTEMI and is treated with PCI (Drug eluting stent) to the LAD and placed on DAPT (aspirin 300mg and ticagrelor 75 mg bd). He subsequently develops abdominal pain, which is confirmed as acute appendicitis on CT scan and is referred by the surgical unit for laparoscopic appendicectomy.

Coronary artery disease with a stent, which thrombosed and was re-stented, hypertension, hypercholesterolemia, diabetes type 2, poorly controlled, tubular adenoma of the colon, low B12 noncompliant with B12 replacement, adrenal mass, status post cholecystectomy, polycythemia due to smoking, left total knee replacement.