Gastrointestinal Disorders Week 9
T.H., a 57-year-old stockbroker, has come to the gastroenterologist
for treatment of recurrent mild to severe cramping in his abdomen
and blood-streaked stool. You are the registered nurse doing his
initial workup. Your findings include a mildly obese man who
demonstrates moderate guarding of his abdomen with both direct
and rebound tenderness, especially in the left lower quadrant
(LLQ). His vital signs are 168/98, 110, 24, 100.4° F (38° C); he is
slightly diaphoretic. T.H. reports that he has periodic constipation.
He has had previous episodes of abdominal cramping, but this
time the pain is getting worse. Past medical history reveals that
T.H. has a “sedentary job with lots of emotional moments,” he has
smoked a pack of cigarettes a day for 30 years, and he had “two or
three mixed drinks in the evening” until 2 months ago. He states, “I
haven’t had anything to drink in 2 months.” He denies having
regular exercise: “just no time.” His diet consists mostly of “white
bread, meat, potatoes, and ice cream with fruit and nuts over it.”
He denies having a history of cardiac or pulmonary problems and
has no personal history of cancer, although his father and older
brother died of colon cancer. He takes no medications and denies
the use of any other drugs or herbal products.
. 1. Identify four general health risk problems that T.H. exhibits.
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