• Discuss a brief HPI, Pertinent subjective and objective complaint data.
75y/o female with known history of DM type 2, Hypothyroid, Hyperlipidemia, Diverticulitis. Presents to the ER with complaints of abdominal pain. Reports abdominal pain began on 1/18/23 evening with sudden onset with intermittent pain. Today states pain has intensified and describes it as “sharp” to LLQ 8/10 pain scale. Denies any fever, chills, headache, light-headed, dizziness. States notices small amount of bloody mucus stool. Does have a history of Diverticulitis last flare up per patient was a few years ago.
HC: IV fluids initiated. Patient has a PCN allergy. Levaquin and Flagyl x1 IV dose given in the ER. Stool sample collected. WBC elevated; blood cultures collected. Placed on NPO. The hospitalist team agreed to admit for further evaluation and management.
• Pick one disorder to explore related to the case and summarize the pathophysiology behind the disorder.
Diverticulitis
• Present the current management recommendations for the disorder. This must be based on current evidence or guidelines.
• Discuss the actual plan that was implemented in the clinical setting for this patient.
o Were guidelines followed? If not please explain further.
o When discussing the plan, address labs that were ordered, medications prescribed/ordered, referrals or consultations.
o Discuss WHY each of the components of the plan were implemented.
