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CHIEF COMPLAINT: Constant abdominal pain with N/V for 4 days
HISTORY OF PRESENT ILLNESS: The patient is a 24-year-old African American female who presents to the clinic with abdominal pain, nausea, as well as vomiting. According to the patient, she has not experienced fever and she has not noticed any blood in her stool or vomit.
ASSESSMENT:
A 24-year-old African American woman presents to the clinic complaining of abdominal pain, nausea and vomiting. Upon enquiry, she denies any blood in the stool or vomit. She also denies any fever. Patient medical history is not available. Although acute gastritis is suspected, there will be need to conduct a few tests to ascertain the exact cause of the symptoms the patient presents. It is important to note that acute gastritis could be caused by many factors. These, according to Emergency Nurses Association – ENA (2007) include, but they are not limited to, “ingestion of nonsteroidal anti-inflammatory drugs (NSAIDs), alcohol, salicylates, steroids, caustic ingestion (acids, alkalis, or food with excessive seasoning), or indigestion of infected foods” (163). As ENA further points out, other causes could in this case be inclusive of viral or bacterial infections, tobacco, or emotional/physical stress. It is important to note that one of the...
pylori. According to LeMone, Burke, Dwyer, Levett-Jones, Moxham, and Reid-Seari (2015), “manifestations of acute gastritis may range from asymptomatic to mild heartburn to severe gastric distress, vomiting and bleeding with hematemesis…” (691). The patient in this case presents with severe abdominal pain and vomiting. Other symptoms in this case could include, but they are not necessarily limited to, indigestion and loss of appetite. Acute gastritis can be diagnosed in several ways. In addition to endoscopy to examine the patient’s upper digestive system, H. pylori tests may also be conducted. The patient’s upper digestive system may also be X-rayed to identify abnormalities.
PLAN:
An endoscopy will come in handy in seeking for signs of inflammation in the patient’s upper digestive system. In instances whereby an area that appears suspicious is identified, biopsy will be necessary after which samples will be taken for examination in the laboratory. It is important to note that biopsy could help in the detection H. pylori in the lining of the patient’s stomach. Upon an assessment of what caused acute gastritis, the appropriate treatment plan can be instituted. For instance, “hemorrhagic…
Introduction Motility represents the stomach muscle’s contractions that allow the mix and push of contents within the gastrointestinal tract (GI). Motility is a term generally used for reference to any of the various gastro disorders where there is a loss in ability to control muscular activities resulting from endogenous or exogenous triggers (Ghoshal, 2016). Such disorders may be considered primary or secondary. These disorders may present in different ways. From constipation,
There can also be changes to the ways in which the body defends itself against these acidic secretions; increased acid exposure can seriously damage or even destroy portions which are given undo exposure. For example, in some patients, the stomach is unable to defend itself from the caustic nature of the acid, which creates lesions in the lining, called gastric ulcers. How Age Might Impact the Pathophysiology of GERD, PUD,
Gastric Acid Stimulation and Production Pathophysiology of gastric acid stimulation and production The parietal cells in the stomach are responsible for the production of gastric acid. Parietal cells contain secretory canaliculus, which produce gastric acid and release it into the gastric lumen. Gastric acid is produced as a response to the messages received through hormonal, paracrine, and neurocrine messengers (Schubert & Peura, 2008). The production of gastric acid undergoes three phases namely
The Normal Pathophysiology of Gastric Acid Stimulation and Production In the words of Phan, Benhammou, and Pisegna (2015), “gastric acid secretion by parietal cells occurs in the fundus of the stomach, and is intricately regulated by various neuronal (vagal), paracrine (histamine, somatostatin) and hormonal factors” (387). As the authors further point out, there are two key phases in gastric acid secretion. These are the cephalic phase and the gastric phases. While
Gastrointestinal Tract: Disorders of Motility According to Ramsay and Carr (2011), the stomach’s main function is food preparation for digestion as well as absorption by the intestines. In the words of the authors, “acid production is the unique and central component of the stomach’s contribution to the digestive process” (Ramsay and Carr, 2011, p. 977). The parietal cells are responsible for the secretion of acid in the stomach. As Lascelles and
Chronic Health: Comprehensive Case Study Part A Setting: Skilled nursing facility. The facility largely offers residential care for senior citizens – mostly from the age of 65 and above. The patient is a 72-year-old Caucasian male who has been undergoing rehabilitation treatment, specifically orthopedic physical therapy, deemed necessary from a medical point of view. Clinical information: Chief complaint: Client complains of abdominal pain and “heartburn.” HPI: Patient points out that he has been experiencing serious pain