Anatomy and Physiology – A 50-year old, slightly obese individual presents
Montgomery College Anatomy and Physiology Discussion
DIGESTIVE SYSTEM: DIFFERENTIAL DIAGNOSIS ASSIGNMENT
In the clinical setting, one often uses a differential diagnosis. This process differentiates between possible diagnoses bases on the person’s symptoms. Here you will demonstrate your knowledge of the gastrointestinal system to either confirm or reject potential diagnosis.
A 50-year old, slightly obese individual presents to your clinic with the following symptoms: severe abdominal pain, especially in the left side. However the patient also complains the pain radiates to the right side. They have nausea and have been vomiting for the past several days. Upon examination, you find abdominal tenderness and constipation. The patient is of Asian descent, has been a smoker for the past 20 years, reports frequent alcohol use (>7drinks/week) and takes aspirin on a daily basis (nonsteroidal anti-inflammatory drug).
Will age, weight, lifestyle and ethnicity play a role in your diagnosis?
To answer the following questions you can use sites like NIH (e.g. https://www.ncbi.nlm.nih.gov/books/NBK436021/ google the term below and NIH bookshelf or StatPearls or the Mayo Clinic– https://www.mayoclinic.org/diseases-conditions/gastritis/symptoms-causes/syc-20355807)
Based on the patient’s symptoms, the list of differential diagnoses is extensive as follows:
- Acute gastritis
- Acute pancreatitis
- Acute appendicitis
- Acute cholecystitis
- Acute pyelonephritis
- Cholangitis
- Mesenteric ischemia
- Constipation
- Irritable bowel disease
- Irritable bowel syndrome
- Diverticulitis
- What is acute gastritis? What is the function of the stomach in digestion (refer back to your GI track chart to answer this question-you must include mechanical and chemical digestion of the stomach). Can acute gastritis lead to ulcers (what are ulcers)?
- What is acute pancreatitis? What is the function of the pancreas in digestion (refer back to your GI track chart to answer this question-you must include the chemical digestion of the of pancreatic juice)? What are some of the causes of acute pancreatitis?
- What is cholecystitis and cholangitis? What are gallstones and what is the function of the gallbladder and liver in digestion?
- What is acute appendicitis? What is the function of the appendix and where is it located?
- What is mesenteric ischemia? What is the function of the small intestine in digestion (refer back to your GI track chart to answer this question-you must include mechanical and chemical digestion of the small intestine)?
- What is pyeloneophritis?
- What is constipation, irritable bowel disease and syndrome? Is there a difference in irritable bowel disease and syndrome? What is Crohn’s disease? What is ulcerative colitis?
- What is diverticulitis and what is the function of the large intestine in digestion?
9.What is your diagnosis of the patient initially presented and why?
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