Guided Case Study Nicholas Evans, a 3 year-old boy, is brought into your gastroenterology practice by his mother. They were referred to you by their pediatrician because Nicholas has been complaining of severe abdominal pain, especially after eating, for the past few weeks. He has an otherwise normal health history. His pediatrician ordered a fecal occult (hidden) blood test, hematocrit, and urinalysis. The fecal occult blood test is positive and the hematocrit (red blood cell count) is lower than normal for a child his age. Body temperature and urinalysis are normal. You perform a surface abdominal exam, which appears normal, but Nicholas complains of pain in the lower right abdominal quadrant đuring palpitation. You order a CT enterography procedure, which uses a contrast dye to make an X-ray of the small intestine. The CT shows a diverticulum. After confirmation with a technetium scan, you diagnose Nicholas with Meckel's diverticulum. A diverticulum is a small pouch that bulges outward from the wall of the intestine. Diverticula form for a variety of reasons and are often asymptomatic. Although in adults the most common cause is a low-fiber diet, it is more concening in children. Meckel's diverticulum is a congenital (from birth) disease that is usually diagnosed in childhood. It occurs in 2% of the population and is more common in males. In Meckel's diverticulum, the pouch diverticula is formed from a remnant of tissue from the formation of the digestive system during embryonic development. In this case, the diverticulum is not made of intestinal tissue, but of acid-producing stomach tissue. Every time Nicholas eats, the diverticulum produces acid, just as it would in his stomach. Over time, this leads to the formation of an ulcer on the intestinal wall and resulting abdominal pain and bleeding. A technetium scan uses a contrast dye, which appears in any stomach tissue. Nicholas' X-ray would have shown stomach lining in the small intestine, which is how you diagnosed his condition. The treatment of Meckel's diverticulum is to surgically remove the diverticulum and reseal the intestinal wall. It usually does not reappear Page 1 | 1 later in life.

Guided Case Study Nicholas Evans, a 3 year-old boy, is brought into your gastroenterology practice by his mother. They were referred to you by their pediatrician because Nicholas has been complaining of severe abdominal pain, especially after eating, for the past few weeks. He has an otherwise normal health history. His pediatrician ordered a fecal occult (hidden) blood test, hematocrit, and urinalysis. The fecal occult blood test is positive and the hematocrit (red blood cell count) is lower than normal for a child his age. Body temperature and urinalysis are normal. You perform a surface abdominal exam, which appears normal, but Nicholas complains of pain in the lower right abdominal quadrant đuring palpitation. You order a CT enterography procedure, which uses a contrast dye to make an X-ray of the small intestine. The CT shows a diverticulum. After confirmation with a technetium scan, you diagnose Nicholas with Meckel's diverticulum. A diverticulum is a small pouch that bulges outward from the wall of the intestine. Diverticula form for a variety of reasons and are often asymptomatic. Although in adults the most common cause is a low-fiber diet, it is more concening in children. Meckel's diverticulum is a congenital (from birth) disease that is usually diagnosed in childhood. It occurs in 2% of the population and is more common in males. In Meckel's diverticulum, the pouch diverticula is formed from a remnant of tissue from the formation of the digestive system during embryonic development. In this case, the diverticulum is not made of intestinal tissue, but of acid-producing stomach tissue. Every time Nicholas eats, the diverticulum produces acid, just as it would in his stomach. Over time, this leads to the formation of an ulcer on the intestinal wall and resulting abdominal pain and bleeding. A technetium scan uses a contrast dye, which appears in any stomach tissue. Nicholas' X-ray would have shown stomach lining in the small intestine, which is how you diagnosed his condition. The treatment of Meckel's diverticulum is to surgically remove the diverticulum and reseal the intestinal wall. It usually does not reappear Page 1 | 1 later in life.

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)

6th Edition

ISBN:9781305964792

Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Chapter31: Diagnostic Imaging

Section: Chapter Questions

Problem 31.3CS

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