100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
I human Case Study-Dorothy Jones, 54 years old Female, CC: Abdominal Pain $15.99   Add to cart

Case

I human Case Study-Dorothy Jones, 54 years old Female, CC: Abdominal Pain

 84 views  1 purchase
  • Course
  • I human Case Study
  • Institution
  • I Human Case Study

I human Case Study-Dorothy Jones, 54 years old Female, CC: Abdominal Pain I human Case Study-Dorothy Jones, 54 years old Female, CC: Abdominal Pain Dx: SBO • Feedback: the patients presentation w/ acute mid-abdominal pain, distention, nausea/vomiting, constipation and inability to pass g...

[Show more]

Preview 2 out of 5  pages

  • November 1, 2023
  • 5
  • 2023/2024
  • Case
  • Prof.
  • A+
  • I human Case Study
  • I human Case Study
avatar-seller
Phoebe312
I human Case Study-Dorothy Jones, 54 years old

Female, CC: Abdominal Pain



Dx: SBO

• Feedback: the patients presentation w/ acute mid-abdominal pain,

distention, nausea/vomiting, constipation and inability to pass gas is

consistent with SBO. An abdominal series confirms the present of multiple

dilated loops of small bowel. Her history of 2 prior abdominal surgeries

significantly increases the likelihood of her bowel

obstruction being secondary to postsurgical adhesions. Approximately 93%

of all patients who have had prior abdominal surgery have adhesions; of

whom 14% will require intervention for adhesion-related sequelae within 10

years of their surgery.



Problem statement:



Dorothy Jones is a 54 year old female that presents with acute, progressive

abdominal pain for 3 days. She complains of absence flatus, emesis and abdominal

, distention. Past medical history includes hysterectomy removal 2 years ago,

cholecystectomy 15 years ago, hyperlipidemia and constipation. Upon assessment,

patient noted to be tachycardic, obese, absent bowel sounds, periumbilical

discomfort to palpation, distended abdomen and tympany noted on percussion.



Ms. Jones is awake, alert and oriented x4. No acute distress. Patient is age

appropriate and looks uncomfortable. Her vital signs are as follows: blood pressure

128/72, pulse 100 beats per minute, 37 degrees Celsius (98.6 degrees Fahrenheit),

respiration rate is 18 and oxygen level is 98%. Upon assessment, her

HEENT/Neck is normal. PMI is in the 5th intercostal space at the midclavicular

line. Normal jugular venous pressure but is noted to have tachycardia. Her chest is

symmetrical and no use of accessory muscles are noted while breathing. All

superficial thoracic lymph nodes are non-palpable, of normal size and consistent

throughout. Anterior lung fields are resonant. The left anterior chest and right

lower chest are dull. The rest of lung fields are resonant. Lung sounds bilaterally

are normal. The abdomen is atraumatic, mildly obese, symmetrical, slightly taut

and distended. Surgical scars noted. No visible peristalsis, mass or organomegaly.

Mild discomfort throughout abdominal palpation and occasional palpable

peristalsis. No involuntary guarding or rebound tenderness noted. Upon percussion,

moderately tympanitic noted. Normal girth. Absent bowel sounds. Patient has no

problem with her genitourinary or rectum. She has noted however that her urine is

darker than normal. She has normal and equal ROM bilaterally. Her gait is steady.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Phoebe312. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $15.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

79223 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$15.99  1x  sold
  • (0)
  Add to cart