Homework Help is Here – Start Your Trial Now!
Science
Anatomy and Physiology
Question: The patient complained of pyrosis after heavy meals. Define this term?

Question: The patient complained of pyrosis after heavy meals. Define this term?

Human Anatomy & Physiology (11th Edition)
Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
See similar textbooks
icon
Related questions
Question
Question: The patient complained of pyrosis after heavy meals. Define this term?
### Patient Case Summary **Clinical Course:** The patient tolerated the procedure well. On postoperative 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 relieve low concomitant suction. During hospitalization, the patient also underwent transrectal ultrasound of the prostate with biopsy. The operative report revealed that the seminal vesicles were not dilated and the prostatic capsule was intact. However, biopsy results were positive for adenocarcinoma of the prostate. The patient is 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 patient’s ileus resolved, and he was discharged on postoperative day 5 with plans for outpatient follow-up. The patient’s prognosis is favorable. **Discharge Diagnoses:** - Cholelithiasis/Cholecystitis - Paralytic Ileus - Adenocarcinoma of the Prostate with Gleason's Score of Grade 3 - Chronic Kidney Disease - Osteoarthritis - Gastroesophageal Reflux Disease (GERD) - Peptic Ulcer Disease (PUD) - Contact Dermatitis - Status Post Total Knee Replacement (TKR) - Urinary Tract Infection (UTI) **Discharge Medications:** - Zofran - Zantac - Levaquin - Tylenol #3 - Dulcolax - Flomax (Note: The document does not contain any graphs or diagrams requiring explanation.)
Transcribed Image Text:### Patient Case Summary **Clinical Course:** The patient tolerated the procedure well. On postoperative 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 relieve low concomitant suction. During hospitalization, the patient also underwent transrectal ultrasound of the prostate with biopsy. The operative report revealed that the seminal vesicles were not dilated and the prostatic capsule was intact. However, biopsy results were positive for adenocarcinoma of the prostate. The patient is 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 patient’s ileus resolved, and he was discharged on postoperative day 5 with plans for outpatient follow-up. The patient’s prognosis is favorable. **Discharge Diagnoses:** - Cholelithiasis/Cholecystitis - Paralytic Ileus - Adenocarcinoma of the Prostate with Gleason's Score of Grade 3 - Chronic Kidney Disease - Osteoarthritis - Gastroesophageal Reflux Disease (GERD) - Peptic Ulcer Disease (PUD) - Contact Dermatitis - Status Post Total Knee Replacement (TKR) - Urinary Tract Infection (UTI) **Discharge Medications:** - Zofran - Zantac - Levaquin - Tylenol #3 - Dulcolax - Flomax (Note: The document does not contain any graphs or diagrams requiring explanation.)
**Case Study Transcription for Educational Website** **Admitted:** 11/11/19 **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 66-year-old male 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 this admission, the patient had been drinking heavily as he had in the past and had tremors prior to admission. 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: The patient was in some distress on examination. Examination of the head revealed pupils and eye movements to be within normal limits. The chest was clear and the heart rate was normal. The blood pressure was elevated at 200/120. Temperature was slightly elevated at 100.6°F. Pulse was 72 and respirations were 16. Examination of the abdomen revealed some distention with pain in the RUQ. The rectal examination revealed an enlarged prostate of two to three times the normal size. Occult blood was negative. The rest of the examination was within normal limits. ### Laboratory Studies: Admission blood tests revealed an elevated white blood cell count as well as an elevated serum bilirubin. Urinalysis showed albuminuria, the presence of bacteria, too numerous to count (TNTC) white cells and pus. Sonography and HIDA scan revealed cholelithiasis. PSA was 19.8. ### Impression: - Cholelithiasis/cholecystitis. - Enlarged prostate with elevated PSA, possible benign prostatic hyperplasia (BPH), rule out tumor. - Consider esophagogastroduodenoscopy (EGD) due to history of GERD and PUD. ### Hospital Course: The patient was diagnosed with cholelithiasis/cholecystitis. The
Transcribed Image Text:**Case Study Transcription for Educational Website** **Admitted:** 11/11/19 **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 66-year-old male 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 this admission, the patient had been drinking heavily as he had in the past and had tremors prior to admission. 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: The patient was in some distress on examination. Examination of the head revealed pupils and eye movements to be within normal limits. The chest was clear and the heart rate was normal. The blood pressure was elevated at 200/120. Temperature was slightly elevated at 100.6°F. Pulse was 72 and respirations were 16. Examination of the abdomen revealed some distention with pain in the RUQ. The rectal examination revealed an enlarged prostate of two to three times the normal size. Occult blood was negative. The rest of the examination was within normal limits. ### Laboratory Studies: Admission blood tests revealed an elevated white blood cell count as well as an elevated serum bilirubin. Urinalysis showed albuminuria, the presence of bacteria, too numerous to count (TNTC) white cells and pus. Sonography and HIDA scan revealed cholelithiasis. PSA was 19.8. ### Impression: - Cholelithiasis/cholecystitis. - Enlarged prostate with elevated PSA, possible benign prostatic hyperplasia (BPH), rule out tumor. - Consider esophagogastroduodenoscopy (EGD) due to history of GERD and PUD. ### Hospital Course: The patient was diagnosed with cholelithiasis/cholecystitis. The
Expert Solution
trending now

Trending now

This is a popular solution!

steps

Step by step

Solved in 2 steps

SEE SOLUTIONCheck out a sample Q&A here
Blurred answer
Recommended textbooks for you
Human Anatomy & Physiology (11th Edition)
Human Anatomy & Physiology (11th Edition)
Anatomy and Physiology
ISBN:
9780134580999
Author:
Elaine N. Marieb, Katja N. Hoehn
Publisher:
PEARSON
Anatomy & Physiology
Anatomy & Physiology
Anatomy and Physiology
ISBN:
9781259398629
Author:
McKinley, Michael P., O'loughlin, Valerie Dean, Bidle, Theresa Stouter
Publisher:
Mcgraw Hill Education,
Human Anatomy
Human Anatomy
Anatomy and Physiology
ISBN:
9780135168059
Author:
Marieb, Elaine Nicpon, Brady, Patricia, Mallatt, Jon
Publisher:
Pearson Education, Inc.,
Anatomy & Physiology: An Integrative Approach
Anatomy & Physiology: An Integrative Approach
Anatomy and Physiology
ISBN:
9780078024283
Author:
Michael McKinley Dr., Valerie O'Loughlin, Theresa Bidle
Publisher:
McGraw-Hill Education
Human Anatomy & Physiology (Marieb, Human Anatomy…
Human Anatomy & Physiology (Marieb, Human Anatomy…
Anatomy and Physiology
ISBN:
9780321927040
Author:
Elaine N. Marieb, Katja Hoehn
Publisher:
PEARSON
SEE MORE TEXTBOOKS