On day 2 of admission during the night the patients fever sp

A 67 y o. (year old) female presents to the ER with increasing Llower abdominal pain for 3 days. She has had a fever of 102F for the past 2 days, nausea and 3 episodes of bloody diarrhea since yesterday. Her past history is significant for diverticular disease and HTN (hypertension). She has been admitted 2 times previously for diverticulitis, the last one being approximately 1 years ago. On examination the patient is in moderate distress and febrile at 102.5F and her BP is 140/90. Her abdomen is slightly distended and appreciably tender throughout the L lower abdomen. The decision is made to admit her with a diagnosis of acute diverticulitis.

Solution

Ans.) Diverticulitis is basically the inflammation of small pockets in the walls of intestine that is known as diverticula. The formation of these pockets which relatively benign are known as diverticulosis. Sometimes, in more serious condition it involve in formation of small abscess in one or more of the pouches and eventually result in to a massive infection or disturbance of the bowel.

a.) Secondary to her infection, the patient may develop diastasis recti. Diastasis recti commonly defined as a gap of roughly 2.7 cm or greater between the two sides of the rectus abdominis muscle.

b.) The patient developed secondary to her infection is the inflammation of diverticulitis can in the long run outcome in bowel obstruction, which may bring about blockage, thin stools, looseness of the bowels, stomach swelling or bloating and stomach torment. On the off chance that the obstacle continues, stomach agony and delicacy will increment and you may encounter queasiness and spewing.

c.) No, as the symptoms described in the question, the patient’s condition is quite serious. Hence he or she should not be transferee to in the hospital at this time.