Case Study One

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CASE STUDY ONE 1

A 49-year-old man presents himself complaining of vague abdominaldiscomforts cover the past few days present a history that enablesone to make a differential diagnosis. His history suggests that hehad an appendectomy at the age of 22 as well as having a borderlinehypertension. The patient is trying to control the borderlinehypertension through diet. However, a blood pressure of 150/72indicates that he still has borderline hypertension, and it is anearly diagnosis (Laureate Education, 2013).

The patient’s physical examination of low-grade fever,constipation, abdominal distention and tenderness in the left lowerquarter depicts diverticulitis (NIDDKD, 2015). The condition involvesthe inflammation of the diverticulitis as a result of non-movement ofthe fecal matter. Patients complain of fever, bloating, distention,nausea, and vomiting (NIDDKD, 2015). These are conditions exhibitedby the patients. Diagnostics or diverticulitis include a test forstool in blood, CT scan, Complete Blood Count, ErythrocyteSedimentation Rate, colonoscopy, sigmoidoscopy, and water solublecontrasts enema (NIDDKD, 2015).

The differential diagnoses include Inflammatory Bowel Disease, smallbowel obstruction, appendicitis, gastroenteritis, peritonitis anddiverticulitis (NIDDKD, 2015). The patient’s history plays animportant role in the diagnosis since it helps to rule out someconditions that could result in similar symptoms like appendicitis.Since he already had an appendectomy, it would be unlikely that thesymptoms emanated from an inflamed appendix. The physical examinationhelps in recording important symptoms like fever, LLQ, and theborderline hypertension.

Treatment for the patient will include the use of antibiotics likeBactrim, Augmentin or Ciprofloxacin (Buttaro et al., 2013)..Management for the condition will involve the consumption of clearliquids for about three days followed by the intake of low fiber anda gradual introduction to high fiber (Buttaro et al., 2013). Thepatient should take a lot of water for easy peristalsis of the fiber.A CT scan will be necessary for prolonged symptoms.

References

Buttaro, T. M.,Trybulski, J., Polgar-Bailey, P., &amp Sandberg-Cook, J. (2012).Primary Care: A collaborative practice. New York N.Y.: Elsevier Health Sciences.

LaureateEducation, Inc. (Executive Producer). (2013c). Case study: Maleabdominal disorder. Baltimore, MD: Author.

NationalInstitute of Diabetes and Digestive and Kidney Diseases. (2015).Digestive Diseases A-Z. retrieved fromhttp://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/Pages/default.aspx

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