top of page

Med Surg Case Study 14

Open each expandable tab to get more information.

Nurse's Note

Ms. A.B., a 52-year-old female, was admitted to the hospital complaining of lower left quadrant abdominal pain for the past two days. The pain is described as constant and sharp, exacerbated by movement. She reports associated nausea, vomiting, and low-grade fever. Her bowel movements have been irregular, with alternating constipation and diarrhea. She has a past medical history of hypertension, obesity, and a diet low in fiber. Upon physical examination, tenderness and localized guarding were noted in the left lower quadrant.

Medical History

Vital Signs

Lab Values


Question 1: What dietary modifications would you recommend for Ms. A.B.?


Question 2: How would you explain the significance of elevated WBC and CRP levels to Ms. A.B?


Question 3: What discharge instructions and follow-up care plan would you provide to Ms. A.B.?


Answers to Questions Below




Answers

Question 1: What dietary modifications would you recommend for Ms. A.B.?

Increasing dietary fiber intake is crucial for diverticulitis management. Encouraging Ms. A.B. to consume more fruits, vegetables, whole grains, and legumes can prevent further diverticula formation and reduce symptoms. This dietary adjustment aims to promote regular bowel movements and prevent complications. Referral to a nutritionist can provide comprehensive guidance tailored to her needs.


Question 2: How would you explain the significance of elevated WBC and CRP levels to Ms. A.B.?

Elevated WBC and CRP levels indicate an inflammatory response in the body, typically seen in cases of infection or inflammation. In diverticulitis, inflammation occurs due to the infection and subsequent inflammation of the diverticula in the colon. Explaining this to Ms. A.B. can help her understand the severity of her condition and the need for timely treatment to prevent complications like abscess formation or perforation.


Question 3: What discharge instructions and follow-up care plan would you provide to Ms. A.B?

Discharge instructions should emphasize dietary modifications, such as gradually reintroducing high-fiber foods and maintaining adequate hydration. It is essential to complete the prescribed course of antibiotics if provided and follow up with a gastroenterologist for further evaluation and monitoring. Ms. A.B. should be advised to seek medical attention promptly if symptoms worsen or new symptoms develop. Providing a detailed care plan and ensuring understanding is crucial for successful recovery and prevention of recurrent episodes




Do you like the new case study format?

  • Yes !

  • Nah, the original format is better.


29 views0 comments

Recent Posts

See All
bottom of page