Acute Diverticulitis Essay -- Diseases, Disorders

On my third daytime of clinical course I had an African America patient geezerhood 72, female, a retired spicy school teacher who was admitted for an incisive Diverticulitis with Perforation. She is diabetic and had a medical and surgical history of diverticulitis, High Cholesterol, Non-Insulin-Dependent Diabetes Mellitus (NIDDM), Hysterectomy, and Scoliosis. She has been on clear politic diet since she was admitted then she was Nothing by Mouth NPO for the CT graze for that day. When I got the assignment that I was going to be taking explosive charge of a patient with an acute diverticulitis, the first thing on my idea was that she will be in a severe abdominal pain, high fever due to infection because my aunty had same disease. To my surprise, she claimed a 0 /10 on a 0-10 pain scale. Her blood sugar and decisive signs were conventionality except for respiratory that was 22. All her laboratory test impressions were normal including WBC. Patient concern was tha t she couldnt have a bowel movement. She was medicated on Colace- a stool softener, morphine for pain, sulfran for nausea, and azactam an antibiotics. Diverticulosis is a disease from the diverticulum. This is when the colon wall is been outpunched through the mucosa. These are small mucosal herniation bellied via smooth muscle and layers of the intestine along vasa recta formed opening in colons wall. Diverticulitis causes is still unknown but develop aft(prenominal) a micro or macro perforation of diverticulum. Peritonitis is an end result from an intestinal rupture in the case of a large perforation. Clinically, diverticulosis could be asymptomatic or symptomatic, they are uncomplicated with no evidence of exhaust or inflammation. Signs and symptoms includes palpable mass and tenderness mostly i... ...an seven 6-ounce of spectacles of fluid each day most especially for patients on pharmaceutic fiber supplements. Works CitedFerzoco, K.H. (2010). Small bowel divert iculitis. The New England Journal of Medicine. 327 302-7Juchems, A.A. (2010). semipermanent management of diverticulitis in young patients. Diseases of the Colon & Rectum. 58627-629.Marinella, L.B. et al (2010). Acute Diverticulitis. The New England Journal of Medicine. 327 1521-1526Painter, P.V. (2009). Diverticulitis. Gastroenterology Clinics of North America. 18357-385.Spivak, W.K., & deSouza, J.M. (2008). Diverticulitis of the right colon. Digestive diseases and sciences. 49 350-358Wilcox, C.V. (2009). Limitation in the CT diagnosis of acute diverticulitis Comparison of CT, short letter enema, pathologic findings in 16 patients. American Journal of Roentgenology. 201381-385.