Week 2 Case Study: Lower GI
Required Resources
Read/review the following resources
for this activity:
• Textbook
• Weekly Concepts
• Minimum of 1 scholarly source
Scenario/Summary
History:
Mr. D is a 60 yr. old with fever, abdominal pain, decreased appetite, and
nausea for the past 24 hrs. There are no new foods in his diet, and he has
not been travelling or eating out. He had a screening colonoscopy 5 years
ago that showed diverticula in his colon, but he never had any problem with
them.
Physical: Mr. D appears tired and in pain. Exam is significant for abdominal
tenderness to touch.
Labs/Tests:
White blood count is elevated on CBC
Amylase, lipase and liver function tests are
normal Abdominal CT scan shows
diverticulitis Assessment/Plan:
Diverticulitis- this occurs when diverticula (thin areas in the wall of the intestine
that form "outpocketing") become inflamed. Risk factors include a low fiber diet
and constipation. Treatment for diverticulitis includes avoiding solid foods,
hydration, and antibiotics.
Deliverables
Answer the following questions and save your responses in a
Microsoft Word document. Provide a scholarly resource in APA format
to support your answers.
1. Provide a detailed description of the path of chyme, and later feces,
from the duodenum to the anus, identifying the different portions
of the small and large intestines.
To move into the small intestine, chyme must pass through the
pyloric sphincter. From here it enters the duodenum, the first part of
the small intestine. The liver mixes in bile, which helps break down
fats in the food. The pancreas also secretes digestive enzymes that
Required Resources
Read/review the following resources
for this activity:
• Textbook
• Weekly Concepts
• Minimum of 1 scholarly source
Scenario/Summary
History:
Mr. D is a 60 yr. old with fever, abdominal pain, decreased appetite, and
nausea for the past 24 hrs. There are no new foods in his diet, and he has
not been travelling or eating out. He had a screening colonoscopy 5 years
ago that showed diverticula in his colon, but he never had any problem with
them.
Physical: Mr. D appears tired and in pain. Exam is significant for abdominal
tenderness to touch.
Labs/Tests:
White blood count is elevated on CBC
Amylase, lipase and liver function tests are
normal Abdominal CT scan shows
diverticulitis Assessment/Plan:
Diverticulitis- this occurs when diverticula (thin areas in the wall of the intestine
that form "outpocketing") become inflamed. Risk factors include a low fiber diet
and constipation. Treatment for diverticulitis includes avoiding solid foods,
hydration, and antibiotics.
Deliverables
Answer the following questions and save your responses in a
Microsoft Word document. Provide a scholarly resource in APA format
to support your answers.
1. Provide a detailed description of the path of chyme, and later feces,
from the duodenum to the anus, identifying the different portions
of the small and large intestines.
To move into the small intestine, chyme must pass through the
pyloric sphincter. From here it enters the duodenum, the first part of
the small intestine. The liver mixes in bile, which helps break down
fats in the food. The pancreas also secretes digestive enzymes that
