Reference no: EM133565513
Ulcerative colitis
Hal smith is a 35-year-old male with a known history of ulcerative colitis and bipolar disorder. Hal has had 3 episodes of flare ups this year. Recently admitted to your unit from his practitioner's office with a five-day history of bloody diarrhea with puss and mucus and severe lower abdominal pain. Hal reports he has pain, cramping and swelling in his abdomen. He feels bloated and he has not eaten in two days. He ranks his pain a 10/10 and states he loss five pounds in two days. He also reports how depressed he is and states "I cannot go anywhere without having to go to the bathroom every five minutes"
PMH:
Ulcerative colitis X 20 years
Bipolar Disorder
DM Type 2
Arthritis
Initial examination:
AOX4 withdrawn, teary
Erythema nodosum on arms
Five bloody stools Reported today
Lying in bed, knee to chest position, Pain abdominal 10/10
BS hyperactive, lungs clear bilaterally, normal heart rhythm, tachycardia.
BP 100/60, P102, R22, Temp 37.7 C, O2 sat 97%RA.
1. What additional diagnosis and/risk factors might you suspect to find with the above patient and why?
2. What additional diagnosis fall under inflammatory bowel diseases? What is the pathophysiology of each disease.
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Expected pharmacological action-therapeutic
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Additional diagnosis fall under inflammatory bowel diseases
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