Medical Terminology: A Case Study

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 three days of abdominal pain. It initially started three 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

On later reflection I realized I could have though about interstitial cystitis, appendicitis and renal calculi. My multiple hypotheses for this patient are presented in Table 1.

Abdomen: The lipases appeared unremarkable. The liver, spleen, gallbladder adrenals, kidneys, pancreas and abdominal aorta appeared unremarkable. The bowels seen on the study appeared thickened. Dilated appendix seemed consistent with acute appendicitis. All the structures of the abdomen appeared unremarkable. No free air was seen.

Physical Examination: General: The patient is an alert, oriented male appearing his stated age. He appears to be in moderate distress. Vital signs: blood pressure 132/78 and pulse 68 and regular. Temperature is 38.56 oC (101.4 oF). HEENT:Normocephalic, atraumatic. Pupils were equal, round, and reactive to light. Ears are clear. Throat is normal. Neck: The neck is supple with no carotid bruits. Lungs: The lungs are clear to auscultation and percussion. Heart: Regular rate and rhythm. Abdomen:Bowel sounds are normal. There is rebound tenderness with maximal discomfort on palpation in the right lower quadrant. Extremities: No clubbing, cyanosis, or edema.

The primary problem is the patient is having severe dehydration due to excessively having loose liquidly stools for the past two days caused by C. Diff.

History of Present Illness: The patient is a 27-year-old male complaining of right lower-quadrant abdominal pain, nausea, and

T.B. is a 65-year-old retiree who is admitted to your unit from the emergency department (ED). On arrival you note that he is trembling and nearly doubled over with severe abdominal pain. T.B. indicates that he has severe pain in the right upper quadrant (RUQ) of his abdomen that radiates through to his mid-back as a deep, sharp boring pain. He is more comfortable walking or sitting bent forward rather than lying flat in bed. He admits to having had several similar bouts of abdominal pain in the last month, but “none as bad as this.” He feels nauseated but has not vomited, although he did vomit a week ago with a similar episode. T.B. experienced an acute onset of pain after eating fish and chips

In August, 2015, Joel first sought medical care for what he believed was indigestion. Unfortunately, his pain did not subside with treatment and actually became worse. The abdominal pain was so bad, Joel could barely sit or stand. Thinking he had pancreatitis or

The patient complained of right lower quadrant pain and of feeling faint. Dr. O'Donnel documented a chief complaint, a brief history of present illness, and a systemic review of the gastrointestinal system and respiratory system. Dr. O'Donnel also documented a complete examination of all body systems, which included all required elements. Medical decision making was of moderate complexity.

About irritable bowel syndrome IBS or irritable colon syndrome is a chronic disorder that affects the normal functions of the colon. And is characterized by symptoms such as abdominal pain and intestinal cramping (colic) and flatulence, constipation and diarrhea. Often infected people in this case between the ages of 20 and 30 years, but children can also be occurring among women is twice as high as among

In my paper I will be discussing what medical terminology is, where it came from, and how it is applied to medical assistant careers as well as how it is applied to medical administration careers. I will give examples of the importance of medical terminology and specific examples of where medical careers use medical terminology on a day to day basis. I will also give a brief summary and definition of what medical terminology stands for. After reading my paper you should have a good concept of medical terminology’s importance, use, and why medical terminology is not just applied to medical assisting jobs but also why it is important for medical administration employees to also be familiar and have a good grasp on medical terminology.

Irritable Bowel Syndrome, IBS, is a gastrointestinal disease predominant in women that affects approximately thirty-four percent of the population of Europe, with the numbers also drastically rising in the United States. The side effects of IBS can range from mild to severe and the disease does not have a cause, nor a proper solution. Instead, the individual patient must try different medications in order to find the proper medication that will cure his/her specific form of Irritable Bowel Syndrome. IBS has been linked to anxiety disorders and their effects on the digestive system by the form of symptoms and other medical disorders.

I was happy that I managed to rule out any distinct causes of the abdominal pain by performing the examination to collect data, analyse it, and use the results to make an appropriate decision (Schon, 1984). However, had I performed the examination without assistance I may not have gained all the information required to confirm diagnosis, as I did forget some aspects.

ABDOMEN: The lung basis appeared unremarkable. The liver, spleen, gallbladder, adrenals, kidneys and pancreas and abdominal aorta appeared unremarkable. The bowels seen on the study appeared thickened. Dilated appendix seen constant with acute appendicitis. Osseous structures of the abdomen appeared unremarkable. No free air was seen.

Perhaps, in no other region of the body does one find more opportunities for effective diagnosis, than in the case of the rectum. Unfortunately, ignorance of methods of analysis and arriving at a clinical diagnosis is surprisingly rampant in most of the recent medical graduates. Those who are coming to the hospitals as interns have only a little idea of evenabout the anatomy of the rectum and anus. The frequency with which rectal examination is performed in general practice is inadequate. Up to two-thirds of patients who present have anorectal symptoms do not undergo a rectal examination and are rarely referred to a specialist. It is unfortunate as a third of rectal cancers are palpable, the omission of the routine anorectal examination may lead to delays in referral for resectable malignancy.