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euse Files The patient tolerated the procedure wellI. On postop day #2 the patient developed nausea and vomiting, which was likely due to a postoperative paralytic ileus. The patient was treated conservatively with a nasogastric tube to low concomitant suction. During the hospitalization, the patient also underwent transrectal ultrasound of the prostate with biopsy. Operative report revealed that the seminal vesicles were not dilated and the prostatic capsule was intact. Biopsy results were positive for adenocarcinoma of the prostate. Patient to be scheduled for TURP on another admission. The patient was treated with IV Levaquin for UTI. The patient's ileus resolved and he was discharged on postop day #5 with plans for outpatient follow-up. The patient's prognosis is favorable. Discharge Diagnoses: Cholelithiasis/Cholecystitis Paralytic Ileus Adenocarcinoma of the Prostate/Gleason's Grade 3 Chronic Kidney Disease Osteoarthritis GERD PUD Contact Dermatitis Status Post TKR UTI Discharge Medications: Zofran Zantac Levaquin Tylenol #3 Dulcolax Flomax

euse Files The patient tolerated the procedure wellI. On postop day #2 the patient developed nausea and vomiting, which was likely due to a postoperative paralytic ileus. The patient was treated conservatively with a nasogastric tube to low concomitant suction. During the hospitalization, the patient also underwent transrectal ultrasound of the prostate with biopsy. Operative report revealed that the seminal vesicles were not dilated and the prostatic capsule was intact. Biopsy results were positive for adenocarcinoma of the prostate. Patient to be scheduled for TURP on another admission. The patient was treated with IV Levaquin for UTI. The patient's ileus resolved and he was discharged on postop day #5 with plans for outpatient follow-up. The patient's prognosis is favorable. Discharge Diagnoses: Cholelithiasis/Cholecystitis Paralytic Ileus Adenocarcinoma of the Prostate/Gleason's Grade 3 Chronic Kidney Disease Osteoarthritis GERD PUD Contact Dermatitis Status Post TKR UTI Discharge Medications: Zofran Zantac Levaquin Tylenol #3 Dulcolax Flomax

Phlebotomy Essentials
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
Section: Chapter Questions
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The patient was noted to have a favorable prognosis. Define prognosis?
### Medical Case Study: Postoperative Prostatectomy Care **Patient Outcomes and Care Details** The patient tolerated the prostatectomy procedure well. On postoperative day 2 (POD#2), the patient developed nausea and vomiting, which was likely due to a postoperative paralytic ileus. The patient was treated conservatively with a nasogastric tube to alleviate the low concomitant suction. During hospitalization, the patient also underwent a transrectal ultrasound of the prostate with biopsy. The operative report revealed that the seminal vesicles were not dilated and the prostatic capsule was intact. Biopsy results returned positive for adenocarcinoma of the prostate. The patient is to be scheduled for Transurethral Resection of the Prostate (TURP) on another admission. The patient was treated with intravenous (IV) Levaquin for a urinary tract infection (UTI). The ileus resolved, and the patient was discharged on POD#5 with plans for outpatient follow-up. The patient's prognosis is favorable. **Discharge Diagnoses:** - Cholelithiasis/Cholecystitis - Paralytic Ileus - Adenocarcinoma of the Prostate/Gleason’s Grade 3 - Chronic Kidney Disease - Osteoarthritis - GERD (Gastroesophageal Reflux Disease) - PUD (Peptic Ulcer Disease) - Contact Dermatitis - Status Post TKR (Total Knee Replacement) - UTI (Urinary Tract Infection) **Discharge Medications:** - Zofran (for nausea) - Zantac (for GERD) - Levaquin (antibiotic for UTI) - Tylenol #3 (pain management) - Dulcolax (stool softener) - Flomax (to ease urination) This summary highlights the key medical procedures, diagnoses, and medications associated with the patient's hospital stay and discharge plan. **Diagram or Chart Analysis:** In the image provided, there were no diagrams or charts depicting the medical information. The document appears to be a plain text summary of medical events, diagnoses, and discharge plans. **Educational Notes:** It is important to monitor postoperative patients for common complications such as paralytic ileus, and to manage symptoms and complications promptly. Regular follow-ups and appropriate discharge plans ensure improved patient outcomes and quality of care. Understanding the patient's comprehensive medical background, including chronic conditions like chronic kidney disease and
Transcribed Image Text:### Medical Case Study: Postoperative Prostatectomy Care **Patient Outcomes and Care Details** The patient tolerated the prostatectomy procedure well. On postoperative day 2 (POD#2), the patient developed nausea and vomiting, which was likely due to a postoperative paralytic ileus. The patient was treated conservatively with a nasogastric tube to alleviate the low concomitant suction. During hospitalization, the patient also underwent a transrectal ultrasound of the prostate with biopsy. The operative report revealed that the seminal vesicles were not dilated and the prostatic capsule was intact. Biopsy results returned positive for adenocarcinoma of the prostate. The patient is to be scheduled for Transurethral Resection of the Prostate (TURP) on another admission. The patient was treated with intravenous (IV) Levaquin for a urinary tract infection (UTI). The ileus resolved, and the patient was discharged on POD#5 with plans for outpatient follow-up. The patient's prognosis is favorable. **Discharge Diagnoses:** - Cholelithiasis/Cholecystitis - Paralytic Ileus - Adenocarcinoma of the Prostate/Gleason’s Grade 3 - Chronic Kidney Disease - Osteoarthritis - GERD (Gastroesophageal Reflux Disease) - PUD (Peptic Ulcer Disease) - Contact Dermatitis - Status Post TKR (Total Knee Replacement) - UTI (Urinary Tract Infection) **Discharge Medications:** - Zofran (for nausea) - Zantac (for GERD) - Levaquin (antibiotic for UTI) - Tylenol #3 (pain management) - Dulcolax (stool softener) - Flomax (to ease urination) This summary highlights the key medical procedures, diagnoses, and medications associated with the patient's hospital stay and discharge plan. **Diagram or Chart Analysis:** In the image provided, there were no diagrams or charts depicting the medical information. The document appears to be a plain text summary of medical events, diagnoses, and discharge plans. **Educational Notes:** It is important to monitor postoperative patients for common complications such as paralytic ileus, and to manage symptoms and complications promptly. Regular follow-ups and appropriate discharge plans ensure improved patient outcomes and quality of care. Understanding the patient's comprehensive medical background, including chronic conditions like chronic kidney disease and
# Case Study: Patient Admission and Diagnosis ### Patient Information **Admitted:** 11/1/19 **Discharged:** 11/12/19 ### Chief Complaint This 66-year-old male was admitted for nausea, vomiting, and anorexia of three days' duration. The patient also complained of recent right upper quadrant (RUQ) pain and pyrosis after heavy meals. This is the second hospital admission for this patient, with a known history of chronic kidney disease, hypertension, osteoarthritis, asthma, gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD) (with prior hemorrhage), and bilateral total knee replacement. Prior to admission, the patient had been drinking heavily as he had in the past and had tremors. He sleeps on two pillows and has dyspnea after climbing one flight of stairs. He denied recent colds, upper respiratory infections, hematemesis, or diarrhea. The patient complained of some urinary frequency and urgency. There was a rash noted on the forearms, which the patient had been treating with Benadryl cream. ### Physical Examination - **General:** The patient was in some distress on examination. - **Head:** Pupils and eye movements were within normal limits. - **Chest:** Clear with normal heart rate. - **Blood Pressure:** Elevated at 200/120. - **Temperature:** Slightly elevated at 100.6 ºF. - **Pulse:** 72 beats per minute. - **Respirations:** 16 breaths per minute. - **Abdomen:** Examination revealed some distention with pain in the RUQ. - **Rectal Examination:** Enlarged prostate at two to three times the normal size. Occult blood was negative. - The rest of the exam was within normal limits. ### Laboratory Studies - **Blood Tests:** Elevated white blood cell count and serum bilirubin. - **Urinalysis:** Showed proteinuria, the presence of bacteria, too numerous to count (TNTC) white cells and pus. - **Sonography and HIDA Scan:** Revealed cholelithiasis. - **PSA:** 19.8 ### Impression - **Primary Diagnosis:** Cholelithiasis/cholecystitis. - **Secondary Considerations:** Enlarged prostate with elevated PSA, possible benign prostatic hyperplasia (BPH), rule out tumor. Consider Esophagogastroduodenoscopy (EGD
Transcribed Image Text:# Case Study: Patient Admission and Diagnosis ### Patient Information **Admitted:** 11/1/19 **Discharged:** 11/12/19 ### Chief Complaint This 66-year-old male was admitted for nausea, vomiting, and anorexia of three days' duration. The patient also complained of recent right upper quadrant (RUQ) pain and pyrosis after heavy meals. This is the second hospital admission for this patient, with a known history of chronic kidney disease, hypertension, osteoarthritis, asthma, gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD) (with prior hemorrhage), and bilateral total knee replacement. Prior to admission, the patient had been drinking heavily as he had in the past and had tremors. He sleeps on two pillows and has dyspnea after climbing one flight of stairs. He denied recent colds, upper respiratory infections, hematemesis, or diarrhea. The patient complained of some urinary frequency and urgency. There was a rash noted on the forearms, which the patient had been treating with Benadryl cream. ### Physical Examination - **General:** The patient was in some distress on examination. - **Head:** Pupils and eye movements were within normal limits. - **Chest:** Clear with normal heart rate. - **Blood Pressure:** Elevated at 200/120. - **Temperature:** Slightly elevated at 100.6 ºF. - **Pulse:** 72 beats per minute. - **Respirations:** 16 breaths per minute. - **Abdomen:** Examination revealed some distention with pain in the RUQ. - **Rectal Examination:** Enlarged prostate at two to three times the normal size. Occult blood was negative. - The rest of the exam was within normal limits. ### Laboratory Studies - **Blood Tests:** Elevated white blood cell count and serum bilirubin. - **Urinalysis:** Showed proteinuria, the presence of bacteria, too numerous to count (TNTC) white cells and pus. - **Sonography and HIDA Scan:** Revealed cholelithiasis. - **PSA:** 19.8 ### Impression - **Primary Diagnosis:** Cholelithiasis/cholecystitis. - **Secondary Considerations:** Enlarged prostate with elevated PSA, possible benign prostatic hyperplasia (BPH), rule out tumor. Consider Esophagogastroduodenoscopy (EGD
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