What is the pathophysiology behind intussusception? Why is Joseph’s abdominal pain intermittent instead of continuous? What treatment would the nurse expect to implement for this patient?
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1. Joseph Williams is a 2-year-old patient who presents to the emergency room with abrupt onset of severe, paroxysmal, colicky abdominal pain. The child appears weak, ill, and lethargic and does not cry when the nurse starts an IV. Joseph’s mother, Lisa, states, “Joseph had jelly-like stool yesterday, but I thought he was just getting a stomach bug. He had a brief episode of pain, but then was acting perfectly normal and playing five minutes later. I thought he just had gas until it happened again today and hasn’t gone away.” (Learning Objectives: 3, 4, 6)
What is the pathophysiology behind intussusception? Why is Joseph’s abdominal pain intermittent instead of continuous? What treatment would the nurse expect to implement for this patient?
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- 1. A 57-year-old man is admitted to the emergency department with complaints of acute onset of intense abdominal pain. On physical examination, the pain appears to be localized to the upper abdomen near the epigastric area and radiating to the back. While being examined, the patient experiences nausea and vomiting. The patient denies recent alcohol consumption and states that he has not been feeling well during the past few days. A. What diagnoses should be considered for the patient? B. What laboratory tests can aid in making a definitive diagnosis?1. Male, 30 years old, with sudden mid-upper abdominal knife-cutting pain for 3 hours to see a doctor. Physical examination: total abdominal tenderness, rebound pain, and muscle tension. An upright abdominal radiograph showed free air under the diaphragm. It is speculated that the cause of the patient's peritonitis is: Subphrenic abscess Intestinal abscess Pelvic abscess Rupture of the spleen Gastroduodenal perforation 2. Male, 50 years old, had undergone subtotal gastrectomy for gastric ulcer 20 years ago. In the recent half a year, he had upper abdominal distension after eating, black stool in the past 2 months, and wasting and fatigue. Physical examination: a 6×5cm mass can be reached under the xiphoid process. The texture is hard and can be pushed, accompanied by light tenderness. The first diagnosis considered is: Ulcer recurrence Postoperative input loop obstruction Output loop obstruction Remnant stomach cancer Gastric emptying disorderA 54-year-old male patient arrives in the emergency department complaining of severe chest pain that radiates to his mid-back along with dyspnea. He is morbidly obese, has smoked two packs of cigarettes a day for the past 20 years, and has two immediate family members who have died of heart disease. 1. What procedure is typically attempted before surgery, where is that procedure performed, and by what type of physician specialist?
- A 54-year-old male patient arrives in the emergency department complaining of severe chest pain that radiates to his mid-back along with dyspnea. He is morbidly obese, has smoked two packs of cigarettes a day for the past 20 years, and has two immediate family members who have died of heart disease. 1. Will surgical intervention be necessary, and if so, what procedure? 2. What does the ED physician suspect is causing the patient’s symptoms? 3. What tests should the ED physician order? 4. What procedure is typically attempted before surgery, where is that procedure performed, and by what type of physician specialist?Today in the pediatrician's practice where you work, you have a distraught father who is concerned about his daughter's colic. Her cries and screams greatly concern him. When she scrunches up her legs, she is even hard to hold. This father seems particularly uncomfortable with the situation, but has a really strong desire to know what to do to make his daughter more at ease. It is a particularly busy day in the practice, and after the doctor has determined the problem is colic alone, she asks you to take some time with the father to demonstrate some techniques that might be helpful. What will you do? What will you suggest? How can you help put the father at ease? Explain. ***INCLUDE CITATIONS IN MLA 9TH EDITION PERDUE OWL***Mr. J is a 35 year old male who arrives at the emergency department ( ED ) with a complaint of unbearable intermittent pain that started one day ago , while at work . He felt nauseated and was diaphoretic later that day . He was unable to take fluids because the nausea would not subside . The following day he observed that his urine was scant and the color was pink-red . He went to work because the pain had decreased much . While at work , he felt a pain radiated from his left side of the abdomen to the centre and it was severe for a few minutes . He informed his brother who work nearby , and transported him to ED at once . Mr. J denies previous episodes of this type of pain and has no past or current medication history . His vital signs are within normal limits except for a temperature of 38.3'c . Laboratory evaluation : Ct scan shows calcium oxalate crystal in the left kidney calyx urine dipstick shows positive for hematuria urinalysis reveals red blood cells the urine has no odor…
- Mr. J is a 35 year old male who arrives at the emergency department ( ED ) with a complaint of unbearable intermittent pain that started one day ago , while at work . He felt nauseated and was diaphoretic later that day . He was unable to take fluids because the nausea would not subside . The following day he observed that his urine was scant and the color was pink-red . He went to work because the pain had decreased much . While at work , he felt a pain radiated from his left side of the abdomen to the centre and it was severe for a few minutes . He informed his brother who work nearby , and transported him to ED at once . Mr. J denies previous episodes of this type of pain and has no past or current medication history . his vital signs are within normal limits except for a temperature of 38.3'c . Laboratory evaluation : Ct scan shows calcium oxalate crystal in the left kidney calyx urine dipstick shows positive for hematuria urinalysis reveals red blood cells the urine has no odor…A female patient presents to the emergency department complaining of pain in the right lower quadrant of her abdomen. List the organs and structures that could possibly be involved in causing her pain.A 50-year-old female presents with a C/C of pain in her abdomen. The patient had pain upon palpation of the abdomen. Standard x-rays were negative.(a) What other types of radiographic diagnostic studies can or are usually performed? (b) What are the advantages of such studies over standard x-rays and is any one study better than the other?
- A nurse is scheduling tests for a patient who has been experiencing epigastric pain. The physician ordered the fol-lowing tests: (a) barium enema, (b) fecal occult blood test, (c) endoscopic studies, and (d) upper gastrointestinal series.Which is the correct order in which the tests would normallybe performed?a. c, b, d, ab. d, c, a, bc. a, b, d, cd. b, a, d, cTwenty-year-old Kevin groaned and clutched his abdomen as he lay on the emergencyroom gurney. He had just been diagnosed with acute appendicitis and was waiting to betaken to the operating room (OR). Although he desperately wanted the pain to stop,Kevin was terrified of having general anesthesia. He hoped his fear wasn’t obvious to hisolder brother Cole, who was finishing medical school and thought he knew everything.“Hang in there,” Cole said, for what seemed like the eighteenth time. “I’m sure they’ll getyou upstairs as soon as they can. They don’t want that thing to burst.”Kevin grunted. “I know…but does that anesthesia stuff work all the time? How can I notwake up when someone’s slicing my gut open?”Cole assumed a professorial air, and Kevin wished he’d kept his mouth shut. However,Cole didn’t get a chance to say anything before an aide arrived to take Kevin to the OR.In the OR, someone placed a mask over Kevin’s face and when he blinked, he suddenlyfound himself in a hospital room…Twenty-year-old Kevin groaned and clutched his abdomen as he lay on the emergencyroom gurney. He had just been diagnosed with acute appendicitis and was waiting to betaken to the operating room (OR). Although he desperately wanted the pain to stop,Kevin was terrified of having general anesthesia. He hoped his fear wasn’t obvious to hisolder brother Cole, who was finishing medical school and thought he knew everything.“Hang in there,” Cole said, for what seemed like the eighteenth time. “I’m sure they’ll getyou upstairs as soon as they can. They don’t want that thing to burst.”Kevin grunted. “I know…but does that anesthesia stuff work all the time? How can I notwake up when someone’s slicing my gut open?”Cole assumed a professorial air, and Kevin wished he’d kept his mouth shut. However,Cole didn’t get a chance to say anything before an aide arrived to take Kevin to the OR.In the OR, someone placed a mask over Kevin’s face and when he blinked, he suddenlyfound himself in a hospital room…