There is nevertheless no evident correlation between the two current conditions

There is nevertheless no evident correlation between

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There is nevertheless no evident correlation between the two current conditions. The family medical history also shows colon cancer that presents as GI bleeds and excessive nonresponsive pain – this is in line with the patient’s experience in this case. Additional Subjective Data Additional history gathering should focus on abdominal pain and diarrhea. The appearance of stool, for instance, is important in determining the cause of diarrhea. Watery diarrhea is indicative of osmotic diarrhea while mucoid and bloodstained matter suggests a bacterial infection. The patient must indicate if the stool was small or large, odorous, and
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ABDOMINAL ASSESSEMNT: GASTROENTERITIS 4 describe its constituency. The frequency of passing stool also requires an assessment to distinguish between acute and chronic diarrhea. Further additional history should focus on patient dietary schedule and places over the last few days. These will be important to eliminate food poisoning as a potential diagnosis. Another essential history is the assessment of pain. The history should be based on the quality of the pain, its frequency, and if the pain is radiating to other areas. The patient has already provided the severity of the pain as five at the time of presentation, but it will be essential to evaluate how often the pain occurs over a period of time. Additional subjective data needed to help determine the diagnosis would be beneficial if he has been exposed to friends or family with the same symptoms. The patient identified that he did not have any drug-related allergies, but it is important also to establish if the patient has food allergies. Additionally, there is a need to ask the patient if he has used any antibiotics recently, which will help determine if he has Clostridium difficile. Finally, it is important to assess the history of unwanted side effects from any medication the patient has been taking. Drugs in the patient's medication list, like metformin and lisinopril, can cause nausea and occasionally diarrhea. Analyzing Objective Data Physiologically, the patient is normothermic with a temperature of 99.8, as well as regular respiratory and heart rate. However, the blood pressure of the patient is higher. According to Ball, Dains, Solomon, and Stewart (2015), normal body pressure should be between 100/60 and 130/80, but the pressure of the patient is 160/86. This is normal among patients with hypertension, but it can indicate that medications are not working well and require adjustment.
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ABDOMINAL ASSESSEMNT: GASTROENTERITIS 5 It is also relevant that the patient is obese with a basal mass index of 35.3. For his age and weight, his weight should be between 129 and 174 pounds (Brown & Edwards, 2017). His high body mass index (BMI) predisposes him to disorders like diabetes and hypertension. Hyperactive bowel sounds show abnormal GI motility with faster contractility than normal. This often indicates a GI movement problem related to the digestive intestines (Humphries & Linscott, 2015). Increased GI motility is the primary reason for diarrhea before water is absorbed from the
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  • Summer '15
  • Clostridium difficile, viral gastroenteritis

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