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Medical Science Assignment

   

Added on  2020-05-11

7 Pages1581 Words65 Views
Running head: MEDICAL SCIENCEMedical scienceName of the StudentName of the UniversityAuthor noteTable of Contents
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1MEDICAL SCIENCEHistory.............................................................................................................................................2Provisional diagnosis.......................................................................................................................2Aetiology.........................................................................................................................................3Epidemiology...................................................................................................................................3Pathophysiology..............................................................................................................................3Assessment......................................................................................................................................4Treatment.........................................................................................................................................4Transport..........................................................................................................................................5References........................................................................................................................................6
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2MEDICAL SCIENCEHistory In the given case study, 52-year-old Emma Smith had a gradual onset of abdominal pain and hadbeen vomiting intermittently and unable to tolerate oral fluids. She is unable to localize the painand it started in the right lower quadrant in on and off form. The abdomen is rigid, tender onpalpation and appeared flushed, diaphoretic. On questioning, her pain scored 9/10 on pain scale,however, there was no pain during her last urination. She was slightly agitated, vomiting andskin appeared warm to touch. Her vital signs included pulse 120 and thready, low blood pressure90/60, sinus tachycardia with constant pain in the stomach. The above condition may be a case ofappendicitis as the pain began in the right lower quadrant of the stomach (Shogilev et al., 2014). Provisional diagnosis Acute appendicitis may be an emergency condition that requires immediate care andmanagement of the condition. The provisional diagnosis is the temporary diagnosis that can bedone with the best information available in that situation which further requires confirmation.The emergency care service would help to provide the care during Emma’s transfer from hometo hospital. The immediate life saving care provided by the first responder would give oxygenadministration, automated external defibrillator providing care minimum emergency service, andstabilize her condition before ambulance arrive and assist her to the hospital . In differential diagnosis, appendicitis can be tricky for diagnosis until the typical symptoms arelooked for. The main consideration on a priority basis is pain management and checking of vitalsigns like stomach pain, ultrasound or CT scan) oxygen saturation levels, blood pressure, pulserate and temperature (Ehrman & Favot, 2017). Aetiology The main cause of appendicitis is due to appendiceal lumen that results in obstruction mainly bylymphoid hyperplasia caused by some foreign body or worms. There is inflammation ofappendix and this leads to multiplication of bacteria inside the organ and pus formation. Theobstruction may lead to bacterial overgrowth, distension, ischemia and abdominal inflammation.There is blocking of appendix by stool or foreign body that causes acute or chronic pain.Concisely, there are two main causes of appendicitis: stomach infection that might have moved
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