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  • Short Bowel Syndrome

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    drnareshkumar3281
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    SHORT BOWEL SYNDROME 1. CHIEF COMPLAINT Short bowel syndrome 2. HPI 3. ROS 4. SYMPTOMS Malnutrition Fatigue Diarrhea Heartburn Abdominal bloating Steatorrhea Anemia Depression Gallstones Kidney stones Weight loss 5.

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    SHORT BOWEL SYNDROME 1. CHIEF COMPLAINT Short bowel syndrome 2. HPI 3. ROS 4. SYMPTOMS Malnutrition Fatigue Diarrhea Heartburn Abdominal bloating Steatorrhea Anemia Depression Gallstones Kidney stones Weight loss 5.

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    68 tayangan3 halaman

    Short Bowel Syndrome

    Diunggah oleh

    drnareshkumar3281
    SHORT BOWEL SYNDROME 1. CHIEF COMPLAINT Short bowel syndrome 2. HPI 3. ROS 4. SYMPTOMS Malnutrition Fatigue Diarrhea Heartburn Abdominal bloating Steatorrhea Anemia Depression Gallstones Kidney stones Weight loss 5.

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    Attribution Non-Commercial (BY-NC)
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    dari 3

    SHORT BOWEL SYNDROME

    1. CHIEF COMPLAINT
    •Short bowel syndrome

    2. HPI

    3. ROS

    4. SYMPTOMS
    •Malnutrition
    •Fatigue
    •Diarrhea
    •Heartburn
    •Abdominal bloating
    •Steatorrhea
    •Anemia
    •Depression
    •Gallstones
    •Kidney stones
    •Weight loss

    5. HISTORY
    •FAMILY HISTORY
    •SOCIAL HISTORY
    •PASTMEDICAL HISTORY
    o Necrotizing enterocolitis
    o Midgut volvulus
    o Intussusception with ischemic small-intestinal injury

    •SURGICAL HISTORY
    •CHRONIC CONDITIONS
    o Chronic inflammatory bowel disease
    o Crohn disease

    6. ALLERGIES

    7. PHYSICAL EXAMINATION

    8. SPECIFIC DATA LIKE GRADING ETC

    9. TESTS TO BE ORDERED
    •Serum Electrolytes
    •BUN
    •Serum Creatinine
    •Serum Calcium
    •Serum Magnesium
    •Serum phosphorous
    •Panel CBC
    •Lipid profile
    •Blood cultures
    •Abdominal ultrasonography
    •CT scan
    •Ultrasonography of Broviac tip
    •Plain radiography
    •Barium imaging of the bowel
    •Angiography
    •Upper endoscopy
    •Liver biopsy

    10.ASSESSMENT /PLAN
    Medical Care
    •Parenteral nutrition
    •Aggressive resuscitation with fluids
    •Monitor serum electrolytes and a comprehensive biochemical
    pattern daily.

    Surgical care

    •Gastrostomy tube placement to provide for enteral access.


    •Small-bowel transplantation
    •Isolated orthotopic liver transplantation without small-bowel
    transplantation

    11.EDUCATION

    12.MEDICATION
    •Codeine
    •Loperamide
    •Octreotide
    •Cholestyramine
    •Metronidazole
    •Gentamicin
    •Ranitidine
    •Omeprazole
    •Ursodiol
    •Phenobarbital
    •Vitamins A, D, E, K

    13.FOLLOW-UP

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