Case Study For Abdominal Pain Essay Discussion

Case Study For Abdominal Pain Essay Discussion

Case study/Discussion
An 18-year-old white female presents to your clinic today with a 2-week history of intermittent abdominal pain. She also is positive for periodic cramping and diarrhea as well as low-grade fever. She also notes reduced appetite. She notes that She admits to smoking ½ PPD for the last 2 years. Denies any illegal drug or alcohol use. Does note a positive history of Crohn’s Disease.
What are the top 3 differentials you would consider with the presumptive final diagnosis listed first? Why? Case Study For Abdominal Pain Essay Discussion

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Case Study

This scenario is focused on an 18-year-old white female who presents to the clinic complaining of intermittent abdominal pain that has occurred for the past two weeks. The abdominal pain is usually accompanied by periodic cramping, diarrhoea, low-grade fever and decreased appetite. She does not drink alcohol, but she smokes half a cigarette pack per day for the past two years. The patient denies any history of Crohn’s disease Case Study For Abdominal Pain Essay Discussion.

 Differential Diagnoses

According to the patient’s symptoms and history, the differential diagnoses are Crohn’s disease, irritable bowel syndrome and peptic ulcer disease. Crohn’s disease is an inflammatory process that affects any part of the gastrointestinal tract. Patients diagnosed with Crohn’s disease usually experience periodic symptoms, relapse and remission, as seen in the patient experiencing intermittent abdominal pain (Ranasinghe & Hsu, 2022). Signs and symptoms seen in Crohn’s disease are diarrhoea, abdominal pain, fever, nausea, vomiting, weight loss, rectal bleeding, bone loss, fatigue, malnutrition and mental health issues such as depression and anxiety. Out of the symptoms outlined above, the patient experienced fever, diarrhoea, abdominal pain and decreased appetite, which can lead to malnutrition. The patient has been a smoker for the past two years. Smoking is implicated as a cause of Crohn’s disease Case Study For Abdominal Pain Essay Discussion.

Irritable bowel syndrome (IBS) is a gastrointestinal disorder characterized by abdominal pain, abdominal bloating, worsening of symptoms in the perimenstrual period and altered bowel habits such as constipation, diarrhoea, and postprandial urgency (Patel & Shackelford, 2021). Fever is an inconsistent symptom of IBS. Out of the symptoms outlined above, the patient experienced fever, abdominal pain, cramping, and diarrhoea. Peptic ulcer disease (PUD) presents with abdominal pain, nausea, vomiting, bloating, heartburn, melena, weight loss, dysphagia and diarrhoea. The patient is suspected of suffering from PUD since she has been a smoker for the past two years. The use of tobacco and smoking accelerates gastric emptying and decreases pancreatic production of bicarbonate which worsens and increases the risk of PUD (Malik et al., 2021)Case Study For Abdominal Pain Essay Discussion. Further tests and examination needs to be conducted for a conclusive diagnosis.

References

Malik TF, Gnanapandithan K, Singh K. Peptic Ulcer Disease. [Updated 2021 Jul 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK534792/

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Patel N, Shackelford K. Irritable Bowel Syndrome. [Updated 2021 Jul 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK534810/

Ranasinghe IR, Hsu R. Crohn Disease. [Updated 2022 May 15]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK436021/ Case Study For Abdominal Pain Essay Discussion