100 CASES in Surgery This page intentionally left blank 100 CASES in Surgery James A Gossage MBBS BSc MRCS Specialist Registrar in General Surgery Bijan Modarai MBBS BSc PhD MRCS Specialist Registrar in General Surgery Arun Sahai MBBS BSc MRCS Specialist Registrar in Urology Richard Worth MBBS BSc MRCS Orthopaedic Research Fellow Volume Editor: Kevin G Burnand MS FRCS Professor of Vascular Surgery‚ Academic Department of Surgery‚ King’s College
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INTRODUCTIONThis is a case study concerning a patient presenting with low abdominal pain‚ frequent micturation and dysuria. I will discuss the consultation and show how I used the problem solving consultation style detailed by Alison Crumbie. This involves listening to the patients’ initial complaint and developing hypothetical diagnosis. Focused questioning and clinical examination and investigations will then be used to eliminate some of the initial hypotheses. The patients’ perspective of their
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suffer from cramping‚ bloating‚ constipation and abdominal pain‚ especially after a meal. Rectal Bleeding and fistulas can also occur‚ fistulas are abnormal or surgically made connections or passages between a hollow or tubular organ and the body surface‚ or between two hollow or tubular organs. Rectal bleeding is usually painless but can become dangerous. If Diverticulosis becomes inflamed and causes Diverticulitis many symptoms will occur‚ such as pain felt in the lower part of the abdomen‚ fevers
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DEPARTMENT TREATMENT RECORD Patient Name: Brenda C. Seggerman Patient ID: 903321 Room No.: Date of Admission/ Date of Arrival: 3/27 Admitting/ Attending Physician: Alex McClure‚ MD Admitting Diagnosis: Ectopic Pregnancy Chief Complaint: Lower Abdominal Pain HISTORY OF PRESENT ILLNESS: The patient states that she has been having some vaginal bleeding‚ more like spotting over the past month. She denies the chance of pregnancy although she states that she is sexually active and using no birth control
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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 3 days of abdominal pain. It initially started 3 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 6am‚ but he now denies having an appetite. Patient had a
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1. Anorexia‚ pain in the lower abdomen and nausea are common symptoms of appendicitis. It is important to seek medical help right away. Appendicitis is an inflammation of the appendix and if not treated right away‚ the appendix can bust and can lead to serious health problems. Surgery is needed to remove the appendix and the use of antibiotic. 2. Diarrhea‚ fever‚ and weight loss are symptoms of Crohn’s disease. Crohn’s disease is a chronical inflammation of the digestive tract. The cause of this
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14 days. Also‚ American Academy of Pediatrics (AAP) describes acute gastroenteritis (AGE) as the diarrhea of rapid onset‚ with or without additional symptoms and signs‚ such as nausea‚ vomiting‚ fever‚ blood or abdominal pain. Bloody stools in a sick child may be signs of severe abdominal pathology (Florez‚ Al-Khalifah‚ Sierra‚ Granados‚ Yepes-Nunez‚ Cuello-Garcia‚ Thabane‚ 2016). The relevant clinical questions to ask would include the following: • Number of days diarrhea has been present and whether
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of joint cartilage and the underlying bone‚ most common from middle age onward. It causes pain and stiffness‚ especially in the hip‚ knee‚ and thumb joints. Lithotripsy- a treatment‚ typically using ultrasound shock waves‚ by which a kidney stone or other calculus is broken into small particles that can be passed out by the body. Fibromyalgia- a chronic disorder characterized by widespread musculoskeletal pain‚ fatigue‚ and tenderness in localized areas. Hiatal (HERNIA?)- Hiatal hernia is a condition
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The nurse is taking the health history of a 70-year-old patient being treated for a Duodenal Ulcer. After being told the patient is complaining of epigastric pain‚ the nurse expects to note which assessment finding? Melena Nausea Hernia Hyperthermia A nurse is providing discharge teaching for a patient with severe Gastroesophogeal Reflux Disease. Which of these statements by the patient indicates a need for more teaching? Top of Form “I’m going to limit my meals to 2-3 per day to reduce acid secretion
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becomes infected. An inflamed appendix will likely burst if not removed. Bursting spreads infection throughout the abdomen. Anyone can get appendicitis‚ but it is more common among the ages 10 to 30 years olds. The main symptom of appendicitis is abdominal pain. Begins near the belly button and then moves lower and to the right of the stomach‚ gets worse when moving around‚ taking deep breaths‚ coughing‚ or sneezing‚ loss of appetite‚ nausea‚ and vomiting. Typically‚ appendicitis is treated by removing
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