T.H., a 57-year-old stockbroker, has conclude to the gastroenterologist for matter of intermittent lenient to austere cramping in his abdomen and blood-streaked stool. You are the registered nourish doing his calm workup. Your findings conceive a leniently fertile man who demonstrates calm compensating of his abdomen after a while twain trodden and recoil delicacy, especially in the left inferior quadrant (LLQ). His inseparable signs are 168/98, 110, 24, 100.4° F (38° C); he is slightly diaphoretic. T.H. reports that he has intermittent constipation. He has had preceding episodes of abdominal cramping, but this span the self-denial is getting worse. Past medical fact reveals that T.H. has a "sedentary job after a while lots of emotional moments," he has smoked a throng of cigarettes a day for 30 years, and he had "two or three adulterated absorbs in the evening" until 2 months ago. He recites, "I keepn't had anything to absorb in 2 months." He denies having symmetrical exercise: "just no span." His sustenance consists in-great-measure of "white repast, consequence, potatoes, and ice acme after a while consequence and nuts balance it." He denies having a fact of cardiac or pulmonary problems and has no idiosyncratic fact of cancer, although his senior and older tally died of colon cancer. He takes no medications and denies the use of any other garbages or herbal products.
. 1. Identify filthy public bloom endanger problems that T.H. exhibits.
3.The physician ordered a KUB (x-ray con-over of the kidneys, ureters, and bladder), finished blood enumerate (CBC), and finished metabolic profile. Based on x-ray and laboratory findings, tangible testimony findings, and fact, the physician diagnoses T.H. as having sharp diverticulitis and discusses an outresigned matter plan after a while him.What is diverticulitis? What are the consequences of untreated diverticulitis?
4.While the resigned is experiencing the austere crampy self-denial of sharp diverticulitis, what interventions would you achieve to succor him feel over pleasant?
5. What is the rationale for ordering bed peace?
T.H. is substance sent home after a while prescriptions for metronidazole (Flagyl) 500mg PO q6h, ciprofloxacin (Cipro) 500mg PO q12h, and dicyclomine (Bentyl) 20mg 4 tomes per day for 5 days.
6.For each medication, recite the garbage assort and the resolve for T.H.
7.Given his fact, what questions must you ask T.H. anteriorly he takes the calm dose of metronidazole? Recite your rationale
8.What is a disulfiram reaction?
9. What are the signs and symptoms of an allergic reaction
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