RADIOLOGY REPORT Patient Name: Benjamin Engelhart Patient ID: 112592 DOB: 10/05/ Age: 46 Sex: M CT Scan No: 10-790031 Ordering Physician: Alex McClure, MD Procedure: CT scan of abdomen and pelvis without contrast. Date of Procedure: 11/14/2012 HISTORY: RLQ pain, no previous studies. 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.
Date of Procedure: 11/14/---- HISTORY: Right lower quadrant pain. No previous studies. 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.
HISTORY AND PHYSICAL - CASE 2 Patient: Benjamin Engelhart Patient ID: 112592 DOB: 10/5/1966 Age: 46 Sex: Male Date of Admission: 11/14/2012 Emergency Room Physician: Alex McClure, M.D. Admitting Diagnosis: Acute Appendicitis 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
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.
Symptoms / Complications The principal symptoms of Crohn’s disease are diarrhea and abdominal pain. Other symptoms include abdominal cramping and tenderness (often in lower right area), abdominal distention, fever, fatigue, and rectal bleeding. Bleeding may be serious and persistent, leading to a low red blood cell count or anemia. As the disease progresses, malnutrition, dehydration, electrolyte, imbalances, increased peristalsis, and pain around umbilicus may occur. Another symptom to be
DIAGNOSIS This condition may be diagnosed based on a physical exam, medical history, and X-rays of the abdomen. You may also have other tests, such as a CT scan of the abdomen and pelvis.
Crohn’s Disease Crohn’s Disease (CD) is an inflammatory bowel disease, affecting areas of the gastrointestinal (GI) tract, extending from in parts of the mouth to the anus. Several areas of the GI tract can be affected simultaneously. Generally, onset occurs in the terminal ileum and the proximal colon. Although CD mainly affects areas of the bowel tissue, it can penetrate through layers of bowel tissue into peripheral parts of the body. This disease causes a deficiency in nutrients due to the incapability of absorption. CD also interferes with growth in children entering puberty. Anyone with Crohn’s Disease will experience abdominal pain, severe diarrhea, fatigue, weight loss and malnutrition. Because the individual is experiencing consistent
Sonographic detection of a sublingual lymphatic malformation in a fetus: a rare case Sarah McCuaig, Diana Ghaeni, Linnell Weatherhead British Columbia Institute of Technology DSON 4007 Sonography Project Word Count: 1543 Abstract Lymphatic malformations (LMs) are benign cystic lesions which, while rare, often affect the pediatric age group. LMs can be macrocystic, microcystic or a combination of the two, and frequently involve the head and neck regions. Ultrasound is useful in the prenatal detection of LMs; however, these lesions can be missed. This case study outlines the incidental finding of a sublingual cyst during a third trimester ultrasound. Postnatal magnetic resonance imaging (MRI) demonstrated a lesion with peripheral enhancement on the anterior and inferior aspect of the tongue, consistent with a lymphatic malformation. While intervention was not required for the patient, this report outlines the risks, including airway obstruction, and possible treatments for LMs. Finally, we explore the impact of sonography in the prenatal detection of oral cysts, and discuss how sonographers might be able to increase the likelihood of their discovery.
According to Murray and McKinney (2014), parents should call the pediatrician any time the in-fant appears sick or they believe something is wrong with the infant. The office staff can deter-mine if the baby needs an appointment with the problems explained. The parents should write down all symptoms to avoid leaving something out. Parents will want to take their infant to the doctor if the temperature is above 100.4 F (38 C). If the infant vomits the entire feeding more than once or twice a day. A significant increase in stools or watery stools. The infant has blisters, sores, or rashes that are unusual. Changes in behavior like listlessness or sleeping more than usual, irritability or crying more than normal. If the infant starts coughing,
Inflammatory Bowel Disease involves chronic inflammation of all or part of your digestive tract. Inflammatory Bowel Disease of the most part consists of ulcerative colitis and crohn’s disease, both indicating diarrhea, pain, fatigue, and weight loss. Inflammatory Bowel Disease can cause someone’s strength to weaken, and also lead to life-threatening complications and illnesses. The proper care for patients with Inflammatory Bowel Disease can either be medical and/or surgical. The medical approach for most patients that has Inflammatory Bowel Disease can be both serving as a symptom or sign, especially of something undesirable and mucosal healing. Inflammatory Bowel Disease is a chronic illness that many may not be aware of, so knowing what
Organs and lymph nodes of the abdominal cavity : SLE is characterized by the activation and involvement of the immune system . The reaction of the body causes an enlargement of the lymph nodes, liver and spleen. Also inflammation of the peritoneum (peritonitis) may cause abdominal
Choice “E” is the best answer. X-linked lymphoproliferative (XLP) syndrome is an immunodeficiency syndrome characterized by the following: a predilection for hemophagocytic lymphohistiocytosis, fatal or near-fatal Epstein-Barr virus–induced infectious mononucleosis in childhood, subsequent hypogammaglobulinemia, and a markedly increased risk of lymphoma or other lymphoproliferative diseases. Choice “A” is not the
A properly working lymphatic system is very important part to maintaining a desired health. The lymphatic system is composed of fluid called lymph, lymphatic vessels that transport lymph, lymphatic tissue, capillaries, ducts, nodes, and red bone marrow(pg.800 a and p). Lymph is found within lymphatic vessels and tissue, which carries infection fighting cells throughout the body.The lymphatic system has many function but the three primary functions are: lymphatic vessels drain excess interstitial fluid from tissue and return it back to the blood, lymphatic vessels transport lipids and lipid-soluble vitamin (A,D,E, and K) absorbed by the gastrointestinal tract, and lymphatic tissue initiate highly specific responses directed against particular
Think of the lymphatic system as a school system. A school has different classes or department. So before you leave one class to the next you need to be evaluated by different exams and make a pass grade before you can move to the next level. Same to the lymphatic system, lymph has to pass through all those checkpoints which could be exam taking before they move to a new or a different body region. Researcher describes this system as a split web of small duct that spread all over the body (Farndon 33). Since the lymphatic system is a one way system, it travels throughout the body monitoring and exporting invasive microorganisms which might be harmful to the circulatory system by the use of B and T cells out of the
Hello Sevara! Lymphadenopathy can be due to many causes, but the 2 major ones are either infection of malignancy (Goolsby & Grubbs, 2015). If the cervical lymphadenopathy accompanies with a history of upper respiratory infection and with symptoms such as fever, sore throat, runny nose, cough, and malaise, it is most likely caused by an infection. On the other hand, if the patient presents with fatigue, malaise, weakness, anorexia, weight loss, fever, night sweats, or easily bruising, a suspicion of malignancy should be ruled out.