Acute Mesenteric Ischemia - AMI is caused by inadequate blood flowthrough mesenteric vessels,resulting in ishcemia and gangrene of bowel wall. Prognosis depends on early detection of the disease. Angiography and exploratory laparotomy have the most sensitivity; other imaging modalities often become positive only late in the disease. The hallmark is severe pain with minimal physical findings. Abdomen remains soft, sometimes with tenderness and mild tachycardia; bowel sounds are reduced. As necrosis develops, heme positive stool is noted (Dains et al, 2016).Viral gastroenteritis - AKA the stomach flu, is an inflammation of the stomach and intestines causes by viruses. It spreads through contaminated food or water. Symptoms seen are watery diarrhea, nausea and vomiting, abdominal pain, loss of appetite, weight loss, fever and chills. Symptoms can sometimes last more than 10 days (Ball et al, 2015).
Pancreatic Cancer It is one of the cancers with worst prognosis since it spreads rapidly and is seldom detected early. There are no symptoms in the early stages. Later stages are associated with non specific symptoms such as lack of appetite and weight loss. DNA mutations are thoughtto be the etiology. Other risk factors include cigarette smoking, age over 60, African American descendant, male gender and obesity (Arcangelo & Peterson, 2013).ReferenceArcangelo, V. P., & Peterson, A. M. (Eds.). (2013). Pharmacotherapeutics for Advanced Practice: Apractical approach (3rd ed.). Amber, PA: Lippincott Williams & Wilkins.Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby.Sullivan, D. D. (2012). Guide to clinical documentation (2nd ed.). Philadelphia, PA: F. A. Davis
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