A 63-year old presented to a local doctor with a history of alternating constipation and diarrhoea for six months, associated with a feeling of incomplete evacuation following defaecation and several episodes of bright blood coating her bowel motion. A diagnosis was made and a portion of the left colon and rectum was removed surgically. Discuss the aetiology and pathogenesis of the disease and what you consider the most likely cause of the presenting signs and symptoms. Also explain what complications might have ensued if the lesion had not been excised

A 63-year old presented to a local doctor with a history of alternating constipation and diarrhoea for six months, associated with a feeling of incomplete evacuation following defaecation and several episodes of bright blood coating her bowel motion. A diagnosis was made and a portion of the left colon and rectum was removed surgically. Discuss the aetiology and pathogenesis of the disease and what you consider the most likely cause of the presenting signs and symptoms. Also explain what complications might have ensued if the lesion had not been excised

Health Safety And Nutrition F/Young Child

9th Edition

ISBN:9781305144767

Author:MAROTZ

Publisher:MAROTZ

Chapter6: Childhood Illnesses

Section: Chapter Questions

Problem A2CR

See similar textbooks

Similar questions

What is the non - pharmacological and pharmacological medication for PERITONITIS. Please explain the answer.
A 37-year-old patient was hospitalized with the diagnosis "Infectious hepatitis". On examination: intensive icteric colour of the skin and mucous membranes is noted. In the blood is found an increase in indirect bilirubin, the fecal masses are discolored. Questions: 1. List the main types of infectious hepatitis. 2. Specify the type of jaundice of the patient according to pathogenetic classification. 3. List all well known causes of this type of jaundice.
Dacryocystitis Breakdown in the following order and be sure to label (e.g. Suffix) each word part 1. S) Suffix and its meaning: 2. (P) Prefix and its meaning: 3. (C)Combining form(s) and its meaning: 4. (MD) Medical Definition:
SCENARIO Identifying Data: This 72-year-old female presents with a biopsy proven adenocarcinoma of the sigmoid colon at 20 cm. History of Present Illness: The patient has been noted to have some bright red bleeding intermittently for approximately 8 months, initially presumable of a hemorrhoidal basis. She recently has had intensification of rectal bleeding but no weight loss, anorexia, or obstructive pain. No significant diarrhea or constipation. Some low back pain, probably unrelated. Recent colonoscopy by Dr. Scoma revealed a large sessile (attached by a broad base) polyp, which was partially excised at 20-cm level, showing infiltrating adenocarcinoma at the base. The patient is to enter the hospital at this time after home antibiotic and mechanical bowel prep, to undergo sigmoid colectomy and possible further resection. 1. Using the scenario above, answer the following questions: A. What chronic symptoms did this patient have? Describe the symptoms using medical…
A 63-year-old woman presented with increasing darkening of the skin, dizziness, and easy fatigability, nausea with occasional vomiting and progressive weight loss over eight months prior to presentation. There were no headaches, blurred vision, and neither loss of consciousness nor change in her bowel habit. The medical history and systemic review revealed no abnormality and were not significant as to the likely cause of her disease state. Physical examination revealed an elderly lady, pale, asthenic with generalized hyperpigmentation especially on the face, oral mucosa, palmar creases and knuckles. No features of malnutrition or hypovitaminosis. There was no significant peripheral lymphadenopathy. Main findings in the systemic examination were a pulse of 106 bpm, regular and small; blood pressure 100/60 mmHg supine and 70/40mmHg sitting. She could not stand on account of severe postural dizziness. The apex beat was normal. Fundoscopy revealed a normal fundus. All other systems were…
What is the correct diagnosis of the disease and the causative agent(s). A 28 year old male presented to the emergency deaprtment with a 1 day history of sore throat and fever. Upon physical examination, there was tonsillar swelling noted without the prescence of pus. A throat swab was conducted and a rapid antigen detection test for Group A Streptococcus (GAS) was performed in the ED. Results were negative. A throat swab for the culture was also collected. The patient was sent home with a diagnosis of presumed viral pharyngitis. The next day, the patient returned to the ED with worsening sore throat and difficulty swallowing. Pus was seen on the tonsils and the uvula was deviated towars one sight of his throat. Viral Agents. Bacteria Rhinovirus Group A streptococcus Adenovirus Group C Streptococcus Coronavirus G SStreptococcus…
Diagnosis and treatment of the following oral candidiasis : 1.Acute pseudomembranous candidiasis (thrush)2. Acute atrophic (erythematous) candidiasis.3. Chronic hyperplastic candidiasis (candidal leukoplakia)4. Denture induced candidiasis (chronic atrophic (erythematous) candidiasis)5. Median rhomboid glossitis6. Angular cheilitis (stomatitis)
The Alaska Department of Public Health was notified that foodborne illness had occurred in fishermen aboard a fishing boat off the Alaska peninsula. The fishermen had eaten steamed clams and mussels, boiled rice, boiled potatoes, and green salad. No alcohol was consumed. Symptoms experienced by the fishermen included numbness of the lips, tingling of the extremities, uncoordinated movements, incoherent speech, and nausea. Identify the etiologic (causative) agent of this outbreak of food poisoning. How did the food get contaminated, and what item was contaminated? What is the treatment, if any? How could this illness have been prevented?
Discuss the sequelae in streptococcal infection. please make it comprehensive in detail. give the exact thoughts and detail to support the statement
A 44-year-old Nigerian man was admitted as an emergency while visiting relatives in England. His symptoms include abdominal pain, sweating, rigors and vomiting. Had been treated twice for malaria but had never taken malarial prophylaxis. Examination revealed he is ill and jaundiced, temperature of 39.2°C, blood pressure was 90/70, but no signs of visceral perforation. Differential diagnosis include– occult gastrointestinal bleeding, septicaemia, hepatitis or recurrence of malaria Emergency investigations: normal haemoglobin (140g/l), white cell count of 6.1 x 109/l, sickle-cell anaemia (excluded), thick blood film Treatment: intravenous quinine. Unfortunately the Px rapidly deteriorated over the next 30h leading to cardiac arrest. Post-mortem diagnosis: Cerebral Malaria QUESTION: 1.What is your final diagnosis here? Explain the cause of his disease. 2. What drug, dosage form, schedule, and duration of therapy are best for treating patients with this condition?
A case of a 20-year-old agricultural labourer with a history of recurrent fever, progressive weakness and abdominal discomfort associated with loss of appetite for six months followed by petechial hemorrhages over body. On examination there was hepato-splenomegaly. A diagnosis of visceral leishmaniasis (kala-azar) was made based on the bone marrow aspiration cytology and epidemiological history of the illness. A. Name the organism responsible for causing this disease. B. Draw the life cycle of this organism.
Answer by listing only the name of the disease. Some questions will require the name of the organism A 38 year old woman presents with a persistent fever and cramps that she says she's had for the last week days. Upon further evaluation, she tells you she's had bloody stool with mucus for the last few days. A colon biopsy shows destruction of colon cells, leaving areas of destruction and inflammation. You recommend the constant replenishing of fluids, as this is how death with this condition usually occurs. 2.A 40 year old patient presents with a low fever, tiredness and a persistent cough that the patient has had for a while now. You order a sputum test, which shows the presence of green, bloody sputum. A chest X-ray shows the presence of a large baseball sized mass in the lower left lung, which prompts the staff treating him to wear masks in his presence. You start the patient on treatment immediately, but warn him he might be on this medication for a long…