Question # 240A 78-year-old woman is brought from the nursing home to the emergency department due to worseningabdominal distension. Over the past 3 days, the patient has had decreased appetite and progressiveabdominal distension that is now accompanied by diffuse abdominal discomfort. Her last bowelmovement was 4 days ago. Medical history is significant for dementia, hypertension, osteoarthritis,osteoporosis, and chronic constipation. Surgical history includes open appendectomy and opencholecystectomy. Temperature is 37 C (98.6 F), blood pressure is 138/80 mm Hg, and pulse is 92/min.Physical examination shows a distended and tympanitic abdomen with diffuse tenderness to palpationbut no rigidity or rebound tenderness. Blood counts and serum electrolytes are within normal limits.Abdominal x-ray is shown in the exhibit. Which of the following is the best next step in management ofthis patient?AEmergency total abdominal colectomyBManual disimpaction and laxative therapyCNasogastric decompression and bowel rest onlyDTherapeutic flexible sigmoidoscopyEUpper gastrointestinal series with small-bowel follow-through

We have a case of a 78-year-old woman. Chief complaint: Abdominal distension. -Decreased appetite…

Answered: A 78-year-old woman is brought from the…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

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Problem 1SRQ

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