The purpose of this assignment is to design a study guide that will assist you and your peers to translate relevant clinical guidelines and evidence-based research into evidence-based practice to promote health and prevent chronic health problems.
You must choose one of the conditions below:
· COPD
Your study guide must include:
·
·
· Definition, etiology
· Occurrence/epidemiology
· Clinical presentation
· Diagnostic testing
· Differential diagnosis
· Non-pharmacological and pharmacological management and follow up
Submission Instructions:
· The study guide is to be clear and concise and will provide a quick reference for a specific chronic disease.
· Include your resources and guidelines used for the elaboration of the study guide.
· Please use the attached template below to complete your assignment.
Intussusception
What is it?
Intussusception occurs when a portion of the intestine folds like a telescope, with one segment slipping inside another segment. It can occur anywhere in the intestines. This causes an obstruction, preventing the passage of food that is being digested through the intestine.
Etiology
The cause of intussusception is not known. Though rare, an increased incidence of developing intussusception may be seen in children:
· Who have abdominal or intestinal tumors or masses
· Who have appendicitis
Occurrence/Epidemiology
Children less than 3 years old, can also occur in older children, teenagers, and adults.
· Intussusception occurs more often in boys than girls.
Clinical Presentation
(subjective and physical examination)
Subjective: Pain, Sudden loud crying, Straining, Draw knees up, Irritable.
Objective: red mucus or jelly like stool, fever, lethargic, vomiting bile, diarrhea, sweating, dehydration, abdominal distention or lump.
Diagnostic Testing
X-Ray: may demonstrate an elongated soft tissue mass with a bowel obstruction proximal to it.
Ultrasound: ‘Target Sign’
also known as the doughnut sign or bull’s eye sign. appearance is generated by concentric alternating echogenic and hypoechogenic bands.
Upper & Lower GI Series (Barium Swallow & Enema): giving the “coiled spring” appearance
3 Differential Diagnosis
(include difference between each differential diagnosis & the main diagnosis)
Intussusception:
Pain, sudden crying, red mucus or jelly like stool, fever, lethargic, vomiting bile, diarrhea, sweating, dehydration, abdominal distention or lump.
Gastroenteritis: vomiting that are typically nonbilious, often with anorexia, fever, lethargy, and diarrhea.
NO JELLY LIKE STOOL
Gastric Volvulus: Epigastric pain tenderness and distention, vomiting, bloody diarrhea
NO JELLY LIKE STOOL,
Appendicitis: abdominal pain that has migrated from a periumbilical position to the right lower quadrant.
NO JELLY LIKE STOOL, NOR MASS
Non-Pharmacologic Management
There are currently no non pharmacological treatments.
Pharmacologic Management
May fix itself while being diagnosed with barium enema. Air enema (aids in moving intestines back).
Antibiotics if infection present
Surgery: push the telescoped intestine back out. Rare cases a resection of intestines may happen, and stoma created.
Follow Up
With toleration of diet, patients treated with nonoperative reduction are usually discharged 12-18 hours after the therapeutic enema. After operative reduction, postoperative progress dictates the length of stay.
References
Blanco, F. C., Chahine, A. A., King, L., & Wilkes, G. (2017, July 3). Intussusception: Practice Essentials, Background, Etiology and Pathophysiology. Retrieved from http://emedicine.medscape.com/article/930708-overview#a1
Crawford, E. (2015). NP-Family Specialty Review and Study Guide: A Series from StatPearls. Retrieved from https://books.google.com/books?id=86ybCgAAQBAJ&dq=intussusception+np+questions&source=gbs_navlinks_s
Epocraties. (2017). Intussusception Differential Diagnosis – Epocrates Online. Retrieved from https://online.epocrates.com/diseases/67935/Intussusception/Differential-Diagnosis
Shah, V., & Amini, B. (2017). Intussusception | Radiology Reference Article | Radiopaedia.org. Retrieved from https://radiopaedia.org/articles/intussusception