Homework Help is Here – Start Your Trial Now!
Science
Biology
Guided Case Study Nicholas Evans, a 3 year-old boy, is brought into your gastroenterology practice by his mother. They were referred to you by their pediatrician because Nicholas has been complaining of severe abdominal pain, especially after eating, for the past few weeks. He has an otherwise normal health history. His pediatrician ordered a fecal occult (hidden) blood test, hematocrit, and urinalysis. The fecal occult blood test is positive and the hematocrit (red blood cell count) is lower than normal for a child his age. Body temperature and urinalysis are normal. You perform a surface abdominal exam, which appears normal, but Nicholas complains of pain in the lower right abdominal quadrant đuring palpitation. You order a CT enterography procedure, which uses a contrast dye to make an X-ray of the small intestine. The CT shows a diverticulum. After confirmation with a technetium scan, you diagnose Nicholas with Meckel's diverticulum. A diverticulum is a small pouch that bulges outward from the wall of the intestine. Diverticula form for a variety of reasons and are often asymptomatic. Although in adults the most common cause is a low-fiber diet, it is more concening in children. Meckel's diverticulum is a congenital (from birth) disease that is usually diagnosed in childhood. It occurs in 2% of the population and is more common in males. In Meckel's diverticulum, the pouch diverticula is formed from a remnant of tissue from the formation of the digestive system during embryonic development. In this case, the diverticulum is not made of intestinal tissue, but of acid-producing stomach tissue. Every time Nicholas eats, the diverticulum produces acid, just as it would in his stomach. Over time, this leads to the formation of an ulcer on the intestinal wall and resulting abdominal pain and bleeding. A technetium scan uses a contrast dye, which appears in any stomach tissue. Nicholas' X-ray would have shown stomach lining in the small intestine, which is how you diagnosed his condition. The treatment of Meckel's diverticulum is to surgically remove the diverticulum and reseal the intestinal wall. It usually does not reappear Page 1 | 1 later in life.

Guided Case Study Nicholas Evans, a 3 year-old boy, is brought into your gastroenterology practice by his mother. They were referred to you by their pediatrician because Nicholas has been complaining of severe abdominal pain, especially after eating, for the past few weeks. He has an otherwise normal health history. His pediatrician ordered a fecal occult (hidden) blood test, hematocrit, and urinalysis. The fecal occult blood test is positive and the hematocrit (red blood cell count) is lower than normal for a child his age. Body temperature and urinalysis are normal. You perform a surface abdominal exam, which appears normal, but Nicholas complains of pain in the lower right abdominal quadrant đuring palpitation. You order a CT enterography procedure, which uses a contrast dye to make an X-ray of the small intestine. The CT shows a diverticulum. After confirmation with a technetium scan, you diagnose Nicholas with Meckel's diverticulum. A diverticulum is a small pouch that bulges outward from the wall of the intestine. Diverticula form for a variety of reasons and are often asymptomatic. Although in adults the most common cause is a low-fiber diet, it is more concening in children. Meckel's diverticulum is a congenital (from birth) disease that is usually diagnosed in childhood. It occurs in 2% of the population and is more common in males. In Meckel's diverticulum, the pouch diverticula is formed from a remnant of tissue from the formation of the digestive system during embryonic development. In this case, the diverticulum is not made of intestinal tissue, but of acid-producing stomach tissue. Every time Nicholas eats, the diverticulum produces acid, just as it would in his stomach. Over time, this leads to the formation of an ulcer on the intestinal wall and resulting abdominal pain and bleeding. A technetium scan uses a contrast dye, which appears in any stomach tissue. Nicholas' X-ray would have shown stomach lining in the small intestine, which is how you diagnosed his condition. The treatment of Meckel's diverticulum is to surgically remove the diverticulum and reseal the intestinal wall. It usually does not reappear Page 1 | 1 later in life.

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

Can Someone help me with the questions??

Guided Case Study Nicholas Evans, a 3 year-old boy, is brought into your gastroenterology practice by his mother. They were referred to you by their pediatrician because Nicholas has been complaining of severe abdominal pain, especially after eating, for the past few weeks. He has an otherwise normal health history. His pediatrician ordered a fecal occult (hidden) blood test, hematocrit, and urinalysis. The fecal occult blood test is positive and the hematoerit (red blood cell count) is lower than normal for a child his age. Body temperature and urinalysis are normal. You perform a surface abdominal exam, which appears normal, but Nicholas complains of pain in the lower right abdominal quadrant during palpitation. You order a CT enterography procedure, which uses a contrast dye to make an X-ray of the small intestine. The CT shows a diverticulum. After confirmation with a technetium scan, you diagnose Nicholas with Meckel's diverticulum. A diverticulum is a small pouch that bulges outward from the wall of the intestine. Diverticula form for a variety of reasons and are often asymptomatic. Although in adults the most common cause is a low-fiber diet, it is more concerning in children. Meckel's diverticulum is a congenital (from birth) disease that is usually diagnosed in childhood. It occurs in 2% of the population and is more common in males. In Meckel's diverticulum, the pouch is formed from a remnant of tissue from the diverticula formation of the digestive system during embryonic development. In this case, the diverticulum is not made of intestinal tissue, but of acid-producing stomach tissue. Every time Nicholas eats, the diverticulum produces acid, just as it would in his stomach. Over time, this leads to the formation of an ulcer on the intestinal wall and resulting abdominal pain and bleeding. A technetium scan uses a contrast dye, which appears in any stomach tissue. Nicholas' X-ray would have shown stomach lining in the small intestine, which is how you diagnosed his condition. The treatment of Meckel's diverticulum is to surgically remove the diverticulum and reseal the intestinal wall. It usually does not reappear Page 1 / 1 later in life.
Transcribed Image Text:Guided Case Study Nicholas Evans, a 3 year-old boy, is brought into your gastroenterology practice by his mother. They were referred to you by their pediatrician because Nicholas has been complaining of severe abdominal pain, especially after eating, for the past few weeks. He has an otherwise normal health history. His pediatrician ordered a fecal occult (hidden) blood test, hematocrit, and urinalysis. The fecal occult blood test is positive and the hematoerit (red blood cell count) is lower than normal for a child his age. Body temperature and urinalysis are normal. You perform a surface abdominal exam, which appears normal, but Nicholas complains of pain in the lower right abdominal quadrant during palpitation. You order a CT enterography procedure, which uses a contrast dye to make an X-ray of the small intestine. The CT shows a diverticulum. After confirmation with a technetium scan, you diagnose Nicholas with Meckel's diverticulum. A diverticulum is a small pouch that bulges outward from the wall of the intestine. Diverticula form for a variety of reasons and are often asymptomatic. Although in adults the most common cause is a low-fiber diet, it is more concerning in children. Meckel's diverticulum is a congenital (from birth) disease that is usually diagnosed in childhood. It occurs in 2% of the population and is more common in males. In Meckel's diverticulum, the pouch is formed from a remnant of tissue from the diverticula formation of the digestive system during embryonic development. In this case, the diverticulum is not made of intestinal tissue, but of acid-producing stomach tissue. Every time Nicholas eats, the diverticulum produces acid, just as it would in his stomach. Over time, this leads to the formation of an ulcer on the intestinal wall and resulting abdominal pain and bleeding. A technetium scan uses a contrast dye, which appears in any stomach tissue. Nicholas' X-ray would have shown stomach lining in the small intestine, which is how you diagnosed his condition. The treatment of Meckel's diverticulum is to surgically remove the diverticulum and reseal the intestinal wall. It usually does not reappear Page 1 / 1 later in life.
1. What symptoms is Nicholas experiencing? 2. What common cause of lower right abdominal pain was the pediatrician trying to rule out with the fecal test? (Hint: if he had this condition, his body temperature would have been high.) 3. Why would Nicholas hematocrit be lower than normal? 4. How is Meckel's diverticulum different from other types of diverticula? 5. How did the CT enterography and the technetium scan lead to the correct diagnosis? 6. What type of treatment is recommended for Nicholas?
Transcribed Image Text:1. What symptoms is Nicholas experiencing? 2. What common cause of lower right abdominal pain was the pediatrician trying to rule out with the fecal test? (Hint: if he had this condition, his body temperature would have been high.) 3. Why would Nicholas hematocrit be lower than normal? 4. How is Meckel's diverticulum different from other types of diverticula? 5. How did the CT enterography and the technetium scan lead to the correct diagnosis? 6. What type of treatment is recommended for Nicholas?
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
Follow-up Questions
Read through expert solutions to related follow-up questions below.
Follow-up Question
3. Why would Nicholas' hematocrit be lower than normal? 4. How is Meckel's diverticulum different from other types of diverticula? 5. How did the CT enterography and the technetium scan lead to the correct diagnosis? 6. What type of treatment is recommended for Nicholas?
Transcribed Image Text:3. Why would Nicholas' hematocrit be lower than normal? 4. How is Meckel's diverticulum different from other types of diverticula? 5. How did the CT enterography and the technetium scan lead to the correct diagnosis? 6. What type of treatment is recommended for Nicholas?
Solution
Bartleby Expert
SEE SOLUTION
Knowledge Booster
Substance abuse
Learn more about
Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, biology and related others by exploring similar questions and additional content below.
Recommended textbooks for you
Human Anatomy & Physiology (11th Edition)
Human Anatomy & Physiology (11th Edition)
Biology
ISBN:
9780134580999
Author:
Elaine N. Marieb, Katja N. Hoehn
Publisher:
PEARSON
Biology 2e
Biology 2e
Biology
ISBN:
9781947172517
Author:
Matthew Douglas, Jung Choi, Mary Ann Clark
Publisher:
OpenStax
Anatomy & Physiology
Anatomy & Physiology
Biology
ISBN:
9781259398629
Author:
McKinley, Michael P., O'loughlin, Valerie Dean, Bidle, Theresa Stouter
Publisher:
Mcgraw Hill Education,
Molecular Biology of the Cell (Sixth Edition)
Molecular Biology of the Cell (Sixth Edition)
Biology
ISBN:
9780815344322
Author:
Bruce Alberts, Alexander D. Johnson, Julian Lewis, David Morgan, Martin Raff, Keith Roberts, Peter Walter
Publisher:
W. W. Norton & Company
Laboratory Manual For Human Anatomy & Physiology
Laboratory Manual For Human Anatomy & Physiology
Biology
ISBN:
9781260159363
Author:
Martin, Terry R., Prentice-craver, Cynthia
Publisher:
McGraw-Hill Publishing Co.
Inquiry Into Life (16th Edition)
Inquiry Into Life (16th Edition)
Biology
ISBN:
9781260231700
Author:
Sylvia S. Mader, Michael Windelspecht
Publisher:
McGraw Hill Education
SEE MORE TEXTBOOKS