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Pathophysiology: The Patient Compensates
Pathophysiology: The Patient Compensates
Bowel
Obstruction
Wound Infection
Skin trauma
Bleeding
Gastrointest
inal System
Polyp
(Adenoma)
- Multiple DNA
mutations lead
to advancement
of adenoma
formed at the
epithelial cells to
carcinoma
(becomes
malignant,
uncapsulated
and invasive)
- Angiogenesis
occurs
(formation and
maturation of
blood vessels)
- More division
of cancer cells
- Bulky mass
which spreads
over the
colonic
mucosal
surface
- Surface areas
that appear red
because it is
bleeding
- Colons shape
becomes
irregular
- Carcinomas of
the cecum and
ascending
Abdominal
Mass
Narrowing of
colonic walls
THE PATIENT
COMPENSATES
Sudden weight
loss
Blood in stool
Feeling of
being full
Abdominal pain
Nausea and
Partial Small Bowel
Obstruction
Secondary to
Transverse Colon
Presence of
Adenocarcinom
a in the
jejunum
Losing
approx. 10
Hgb level: 120
g/L
Whole
abdominal CT
scan revealed
transverse
colon mass
Procedure:
Segmental
resection
of
jejunum with
primary
Biopsy
revealed
adenocarcino
ma polyp
with
hyperplastic
Status post
ex-lap
jejunostomy,
peritoneal
lavage and
tube
ABG result of
uncompensat
ed metabolic