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Pages:
1 page/β‰ˆ275 words
Sources:
2 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Coursework
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 5.18
Topic:

Gastrointestinal Illness: Diagnosis and Justification

Coursework Instructions:

A.O. is a 28-year-old woman who presents to your clinic with complaints of rectal bleeding and weakness. Five days ago, she noticed bright red blood in her stools. Furthermore, she reports that her daily bowel movements have increased to five or six with significant diarrhea. She has been weak for approximately three days. She has not traveled outside of the city, been hospitalized, or received antibiotics recently.
A proctosigmoidoscopy was conducted three days after the patient's discharge from the acute care clinic. A significant pseudopolyps formation could be seen. Biopsies of the colon revealed erosions of the mucosa and ulcerations into the submucosa with mixed acute (i.e., neutrophils) and chronic (lymphocytes and macrophages) inflammatory cells. No dysplastic cells suggesting the development of colon carcinoma were seen. No multinucleated giant cells suggesting Crohn's disease were seen. Inflammation and ulceration were limited to the rectum and sigmoid colon only. Crypts of Lieberkühn were intensely inflamed. Marked hemorrhaging of capillaries in the mucosa was also observed.
Laboratory Blood Test Results
Na+ = 143 meq/L
BUN = 20 mg/dL
Plt = 315,000/mm3
AST = 33 IU/L
K+ = 3.2 meq/L
Cr = 1.1 mg/dL
PO4-3 = 4.0 mg/dL
ESR = 24 mm/hr
ALT = 41 IU/L
Cl- = 108 meq/L
Hb = 10.8 g/dL
CRP = 1.5 mg/dL
T bilirubin = 0.9 mg/dL
Alb = 3.1 g/dL
HCO+3 = 18 meq/L
Hct = 36%
Ca+2 = 8.9 mg/dL
PT = 11.3 sec
Glu, fasting = 132 mg/dL
WBC = 9,400/mm3
Questions
1.What is the relevance of the last sentence in the first paragraph: "She has not traveled outside of the city, been hospitalized, or received antibiotics recently"? Explain your answer in detail.
2.What is the diagnosis? Explain your answer. Why and how did you come up with this diagnosis?
3.Identify eight abnormal laboratory blood test values and provide a brief pathophysiological explanation for each of them.
Please answer questions individually***

Coursework Sample Content Preview:

Case Study: Gastrointestinal illness
Name
Department, Institution Affiliation
Course Code; Course Name
Instructor's Name
Date
Case Study: Gastrointestinal illness
Last Sentence
The last sentence is vital for different reasons. Gastrointestinal illness is problematic and causes specific bowel issues and belly problems (Murphy et al., 2016). Therefore, for an effective etiological understanding of the patient condition and severity, hospitalization, antibiotic use, and travel history must be identified. The identified activities play a key role in planning for patient care, and they help identify the cause of diarrhea and the effective measures to be taken. For instance, the condition may be infectious or caused by changes in bowel microbiota. The provided information allows the health expert to ensure a reliable framework that adequately mitigates the condition. Therefore, it is easy to identify and recommend reliable interventions for the patient with the information in the last sentence.
Diagnosis and Justification
The patient's diagnosis is ulcerative colitis. It is an inflammatory bowel disease that affects the digestive tract. The common impact is an ulcer (sores) and increased digestive tract inflammation (Shen et al., 2018). The identified symbols are evident in the patient. After critically examining the patient's conditions, I came up with the diagnosis, which adequately aligns with UC symbols, including acute inflammatory cells and mucosal ulceration. The evidence justifies the client's condition is UC.

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