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  • Case 2011 July

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    VAsha Milan MarqUez
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    This document summarizes a 79-year-old Filipino man who presented with a chief complaint of changes in his bowel habits over the past month, including alternating constipation and loose bowel movements. A colonoscopy revealed malignancy. He was then transferred for surgery but did not have medical clearance. His physical exam showed direct tenderness in the right lower quadrant of his abdomen. He was assessed with cecal adenocarcinoma and was planned for an exploratory laparotomy and possible right hemicolectomy under general anesthesia.

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    This document summarizes a 79-year-old Filipino man who presented with a chief complaint of changes in his bowel habits over the past month, including alternating constipation and loose bowel movements. A colonoscopy revealed malignancy. He was then transferred for surgery but did not have medical clearance. His physical exam showed direct tenderness in the right lower quadrant of his abdomen. He was assessed with cecal adenocarcinoma and was planned for an exploratory laparotomy and possible right hemicolectomy under general anesthesia.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    9 views12 pages

    Case 2011 July

    Uploaded by

    VAsha Milan MarqUez
    This document summarizes a 79-year-old Filipino man who presented with a chief complaint of changes in his bowel habits over the past month, including alternating constipation and loose bowel movements. A colonoscopy revealed malignancy. He was then transferred for surgery but did not have medical clearance. His physical exam showed direct tenderness in the right lower quadrant of his abdomen. He was assessed with cecal adenocarcinoma and was planned for an exploratory laparotomy and possible right hemicolectomy under general anesthesia.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 12

    5/4/12

    For Cataract Surgery, Laryngeal Click to edit Master subtitle styleCA Case Report

    2011

    5/4/12

    Patient details

    A. R. yrs old Catholic

    Male 79

    Filipino Roman Saudi

    Village, Lunsad, Rizal

    5/4/12

    Chief Complaint
    Change

    in the Bowel Habits

    5/4/12

    HPI
    1

    month PTA, alternating constipation and Loose Bowel Movt. Associated with generalized pain and wt loss of approx 20 kilos. Consult done Work up done, Colonoscopy revealed Malignancy and was discharged.

    5/4/12

    days PTA, generalized abdominal pain associated with Loose Bowel Movement Consulted and was admitted Advised for surgery No Clearance Transferred

    5/4/12

    Past

    medical History

    Hypertensive
    P

    & S History

    Smoker Occl Alc Drinker

    5/4/12

    Family

    History (Brother)

    Hypertension(Mother) Lung CA

    5/4/12

    P.E.

    Conscious Coherent not in Cardiorespiratory distress with the following V/S: BP CR RR 140/80 mmHg 90/min 23/min

    Temp 36.9 oC

    5/4/12

    HEENT

    : Pink palpable conjunctiva, anicteric sclerae, no nasoaural discharge & Lungs : symmetrical chest expansion, Clear Breath Sounds : AdynamicPrecordium, Normal rate regular Rhythm, no murmurs : Flat,soft,(+) Direct RLQ tenderness

    Chest Heart

    Abdomen

    5/4/12

    Review of Systems
    General

    : (+) Wt loss approx 20lbs in

    3mos
    Respi:

    (-) DOB (+) Easy fatigability

    Cardio: GIT:

    (-) (-) (-)

    GUT:

    Neuro:

    5/4/12

    Assesment

    Surgical: Cecal AdenoCarcinoma Anesthesia: ASA 2


    Plan:

    Surgical: ExLap, possible R Hemicolectomy Anesthesia: General Anesthesia Endotracheal

    Upon Admission
    Patient

    5/4/12

    was transferred from

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