MN 568 The Intensity of Passing Watery Blood Stained Stool Case Study

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Health Medical

MN 568

MN

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Case Study

A 78-year-old woman is brought to the clinic by her son, who reports that she has had three days of diarrhea that is now watery with small amounts of blood, and periodic vomiting occurring once or twice daily. The woman appears weak and ill. Her son reports that the woman lives with him and that his family and children have recently been sick with gastroenteritis. The patient’s mucous membranes appear dry, and she reports feeling dizzy and falling earlier in the day. The fall resulted in bruising on her hip and elbow but no other apparent injuries. The patient takes antihypertensive medication, an oral antidiabetic medication, and occasional ibuprofen for joint pain; she is otherwise healthy. The patient’s vital signs are temperature 99.8°F, heart rate 96, respiratory rate 24, and blood pressure 118/58.

Case Questions:

What additional assessment information should be obtained?

What are the differential diagnoses for this patient?

  1. What management will be recommended for the patient?
  2. What patient education should be included?

Explanation & Answer:
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Explanation & Answer

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What should additional assessment information be obtained?
The patient should be asked about the onset of signs and symptoms presented at the
hospital as her chief complaints. Attention should be paid to her eating habits, which increase the
intensity of passing watery blood-stained stool (Williams & Berkley, 2018). She should be asked
about the type of foods she consumed before attending the clinic and the management t...


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