mahendra
Forum Guru
Topics: 173
Posts: 419
|
An elderly woman living at a nursing home is brought to the emergency room
in shock. The nursing home staff is very upset and stresses that the
patient was completely well yesterday, and had only complained of
"feeling a little ill" several hours before being brought in. Physical
examination reveals a tense abdomen with guarding. Which of the
following is the most likely etiology for this patient's condition?
A. Acute appendicitis
B. Acute cholecystitis with gall bladder rupture
C. Gastric rupture
D. Rupture of a diverticulum
E. Rupture of an ovarian cyst
|
| asmi
Forum Hero
Topics: 1043
Posts: 4,609
|
b :?:
|
| mahendra
Forum Guru
Topics: 173
Posts: 419
|
NOPE TRY IT AGAIN
|
| asmi
Forum Hero
Topics: 1043
Posts: 4,609
|
:?: e
|
| leftfoot
Forum Elite
Topics: 29
Posts: 216
|
do explain?? :icon_scratch:
|
| mahendra
Forum Guru
Topics: 173
Posts: 419
|
its D
Rupture of a colonic diverticulum, with resulting fecal peritonitis, is a catastrophic complication of diverticulosis, particularly in the elderly, with a mortality rate near 50%. The rupture frequently involves a diverticulum that is not inflamed (or only minimally inflamed) and consequently the rupture may be inapparent, at least initially. Shock secondary to septicemia develops rapidly, however. Vigorous resuscitation may be required to stabilize the patient sufficiently for emergency surgery to resect the distal colon and form a colostomy (Hartmann's operation).
|
| leftfoot
Forum Elite
Topics: 29
Posts: 216
|
cool! thanks mehendra!
|
| asmi
Forum Hero
Topics: 1043
Posts: 4,609
|
thanks
|
|
| |
| | | | | | | | |
