Admission note. Occupation: NIL. Abdominal pain on 1/1 morning, vomited bile content
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1 Admission note Name: 施 OO Age: 86-year-old Gender: Female Occupation: NIL Marital status: Married Education: elementary school Date of care: 2017/1/1~1/10 BH: cm, BW: 41.3 kg, BMI: 17.64% Reason for admission: Abdominal pain on 1/1 morning, vomited bile content Present illness: The 86-year-old female patient had underlying disease of (1) arrhythmia (2) L3 compression fracture (3) Gall bladder stones s/p Cholecystectomy (4) Uterine myoma s/p hysterectomy. This time she suffered from abdominal cramping pain on 1/1 morning. Bile content vomitus was associated. The pain was aggravating while activity, and relieving while fasting. At first, she was brought to ER. Plain abdomen X ray showed dilatation of bowel loops with air-fluid level. Whole abdomen CT showed ileus and colon diverticulosis, NG tube was inserted with decompression. Then she was admitted for further treatment. Past medical history: 1. Cardiac arrhythmia under warfarin treatment 2. Denied DM & HTN 3. L3 compression fracture 4. Gall bladder stones s/p Cholecystectomy 5. Uterine myoma s/p hysterectomy Personal, Social, Occupational and family history: 1. Cigarette smoking: Denied
2 2. Alcohol consumption: Denied 3. Betel nut chewing: Denied 4. Occupation history: Denied 5. Travel history: Denied 6. Contact history: Denied 7. Family history: Asthma of father 8. Coffee or tea : tea (one cup/day) History of Allergy and Adverse Drug Reactions: NKA Family History Review of system System YES NO General Head Respiratory Cardiovascular Gastrointestinal Nausea/Vomiting: Bile content vomitus, Abdominal pain, Constipation, Body weight loss, Fever / chill, Appetite Headache, Diplopic, Blurred vision Cough, Shortness of breath, Sputum Chest pain, Tachycardia, Palpitation, Dyspnea, Orthopnea Diarrhea, Constipation, Tarry stool, Weight loss,rrectal bleeding, Tenesmus, Incontinence
3 Genitourinary Musculoskeletal Hematologic Neuropsychiatric Dysuria, Hematuria, Flank pain, Incontinence Arthralgia, Joint swelling, Limited joint range of motion, Gout, Skin rash Anemia, Gum bleeding Faint, Weakness, Dizzy, Numbness Physical examination: Vital signs: Date: ,Time:1631, BT:36.8, PR:75/min, RR:18/min, BP:165/79mmHg General appearance: ill-looking Consciousness: GCS (Glasgow Coma Scale): E4M6V5 HEENT: Eye: conjunctiva: anemic(-), sclera: icteric(-) Neck: supple, thyroid enlargement(-), lymphadenopathy(-) Chest: clear breathing sound, Heart: irregular heart beats Abdomen: Inspection: Previous s/p hysterectomy op scar, distension(-), Cullen`s sign(-), Turner sign(-) Palpation: diffuse tenderness(+), muscle guarding(-), rebounding pain(-), palpable mass(-), hepatomegaly(-), splenomegaly(-), Murphy`s sign(-) Percussion: shifting dullness(-), fluid wave(-), tympanic(+) Auscultation: silence bowel sound, bruit(-) Flank: knocking pain L(-) / R(-), pressure sore(-)
4 EXT: freely movable, pitting edema(-), Lymph node: neck(-), supraclavicle(-), axillary(-), inguinal(-) Digital Rectal examination: no palpable mass, no bloody on glove Peripheral vascular: (1)Radial a. --> Right side(++) ; Left side(++) (2)Brachial a. --> Right side(++) ; Left side(++) (3)Femoral a. --> Right side(++) ; Left side(++) (4)Popliteal a. --> Right side(++) ; Left side(++) (5)Tibial a. --> Right side(++) ; Left side(++) (6)Dorsalis pedis a. --> Right side(++) ; Left side(++) Lab: 2017/01/01( 血漿 ) PT=12.4sec(H) PT control=10.5sec INR=1.20 APTT=28.5sec APTT control=30.0sec 2017/01/01( 血液 ) Hb= 12.9g/dl(L) Ht=39.2%(L) RBC=1.41*10^6/uL(L) WBC=11.00*1000/uL Neutrophil Seg.=87.4%(H) Lymphocyte=6.9%(L) Monocyte=5.7% Eosinophil=0.0% Basophil=0.0% MCV=92.9fL MCH=30.5Pg MCHC=32.8g/dl PLT=158*1000/uL 2017/01/01( 血漿 ) Na=134mmol/L(L) K=5.0mmol/L Glucose=162mg/dL(H) BUN=135mg/dL(H) GOT=9IU/L CPK=209IU/L CPK MB=4.7ng/mL Creatinine=3.26mg/dL(H) Troponin I=<0.10ng/mL CRP= 9.6 mg/dl Image :
5 107/01/01 Plain abdomen X ray : dilatation of bowel loops with air-fluid level. 107/01/01 Whole abdomen CT: ileus and colon diverticulosis. Differential Diagnosis : Differential Reason( CC + PI Reason( CC + PI Reason( CC + PI + Diagnosis + PH + ROS ) + PH + ROS +PE) PH + ROS+PE +Image)
6 Adhesion ileus Abdominal pain, Diffuse abd 1. Abdomen X ray: bile vomitus, tenderness, dilatation of bowel Abdominal op Tympanic (+), loops with air-fluid history: silence bowel level hysterectomy, sound 2.Whole abdomen CT: ileus and colon diverticulosis. Ischemic bowel Abdominal pain Diffuse abdominal EKG: Af arrhythmia tenderness, Colon Abdominal pain Abdominal Abdomen CT: colon diverticulitis Old age, 86y/o tenderness, diverticulosis. Bowel obstruction ( ileus ) Classification: Classification Cause Mechanism ileus 1. Bowel lumen obstruction ( ex : Bezoars or tumor ) 2. Adhesion or intestine strangulation Paralytic ileus Poor bowel movement ( ex : spinal cord injury hypokalemia ) Conculsion : 1. History taking : 由病史得知病人腹痛伴隨膽汁嘔吐物, 同時過去病史有腹部手術 ( 子宮切除 ) 2. Physical examination: 身體理學檢查聽診呈現 silence bowel sound, 扣診呈現鼓音
7 3. Image 影像檢查 : 腹部 X 光 : dilatation of bowel loops with air-fluid level Whole abdomen CT: ileus and colon diverticulosis ** 綜合以上結果診斷為腸阻塞, 腸阻塞又分為 Mechanism ileus & Paralytic ileus, 因病人過去有腹部手術病史, 所以最後診斷為沾粘性腸阻塞 ( 屬於 Mechanism ileus) Care plan:( For adhesion ileus ) 1. CBC/DC CRP Bio, Electrolytes 2. NPO with NG decompression with adequate IVF supply 3. Abdominal x ray (standing) 4. Whole abdomen CT 5. Primperan 1 amp iv q8h + Dulcolax 1# sup q6h 6. Close monitor vital signs and her abdominal pain symptoms, if toxic sign is noticed ( Fever, abdominal pain aggravating, Tachycardia, Leukocytosis), arrange emergent surgical intervention for intestine strangulation possibly. 出院返家注意事項 : 1. 飲食衛教 ( 均衡飲食 充分咀嚼食物 少量多餐, 避免大塊食物吞嚥, 及避免不易, 如柿子 糯米等 ) 2. 養成良好排便習慣, 避免便秘, 自我觀察每日排氣 排便情形 3. 遵循醫師指示正確服用藥物及定時門診追蹤
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