HIT 104 Digestive System Case Study #2 (The Language of Medicine Chapter 5 & 6)A 57-year-old male came to the Emergency Department with complaints of fatigue, diarrhea, and
constipation. The patient also complained that he had both abdominal pain and a feeling of
fullness in his rectum. He mentioned that when he goes to the bathroom, he is not able to fully
empty his bowel. In addition, he reported the presence of bright red streaks in his stool.
Diagnostic studies including a digital rectal exam as well as fecal occult and fecal
immunochemical tests to detect blood or blood proteins in the stool were ordered. The results of
the tests were positive for the presence of blood in the patient’s stool. Furthermore, the patient
reported to the hospital’s outpatient department next day and a colonoscopy was performed.
During the colonoscopy procedure, a tumor was found in the lower rectum. A biopsy procedure
was performed and a sample of tissue was obtained from the tumor and was sent to the pathology
department. The result of this diagnostic test came back the next day and was positive for low
rectal cancer. The patient was diagnosed with low rectal cancer. Today, this patient presents for
abdominoperineal resection (APR) of the rectum with reconstruction to follow. Laparotomy
with extensive adhesiolysis to free sigmoid colon taking approximately 45 minutes was
performed. Then, cylindrical APR was performed, along with excision of the sigmoid colon and
resection of the anus. The patient also had colostomy creation at the same time. Remaining
sigmoid colon was bypassed to skin.
You need to answer the following questions:
1.
2.
3.
4.
5.
6.
What disease did the patient suffer from?
What signs and symptoms did this patient experience?
What diagnostic procedures were performed in order to diagnose the disease?
What surgical procedures were performed?
Explain the meaning of each medical term included within this report.
Explore the disease described in this case using credible websites and add other
interesting facts as well (5 to 6 sentences).
7. Provide at least two references in the APA format.
Prepare a written report (no more than 2 pages, double spaced, Font size 12, Times New Roman)
describing your findings. Your report should include complete answers to the seven questions
listed above. Please pay attention to spelling and punctuation. This assignment is worth 24
points. Your assignment will be graded based on the following rubric:
Criteria
Patient’s
Disease
along with
Signs and
Symptoms
Mastery
4 points
The disease was
named
correctly. All
signs and
Advanced
3 points
The disease was
named correctly.
One sign or
symptom was
not identified.
Intermediate
2 points
The disease
was named
correctly. Two
signs or
symptoms
Novice
Score
1 point
The disease was
not named
correctly. Three
or more signs or
symptoms were
identified.
were not
identified.
Or
The disease
was not named
correctly. One
sign or
symptom was
not identified.
symptoms were
not identified.
Diagnostic
Procedures
Performed
All diagnostic
One diagnostic
procedures were procedure was
identified.
not identified.
Two
diagnostic
procedures
were not
identified.
Three or more
diagnostic
procedures were
not identified.
Surgical
Procedures
Performed
All surgical
One surgical
procedures were procedure was
identified.
not identified
Two surgical
procedures
were not
identified.
Three or more
surgical
procedures were
not identified.
The Meaning
of Each
Medical
Term
Included
Within This
Report
The meaning of
all the medical
terms is
identified.
The meaning of
one medical
term is not
identified.
The meaning
of two medical
terms is not
identified.
The meaning of
three or more
medical terms is
not identified.
Description
of The
Disease
The disease is
described in at
least five
sentences.
The disease is
described in at
least four
sentences.
The disease is
described in at
least three
sentences.
The disease is
described in at
least two
sentences.
APA Format
and
Mechanics
Two references
are provided in
the APA format.
No
grammatical,
spelling, or
punctuation
errors.
One reference is
provided in the
APA format. A
few
grammatical,
spelling, or
punctuation
errors.
References are
provided, but
they are not in
the APA
format. A few
grammatical,
spelling, or
punctuation
errors
References are
not provided.
Many
grammatical,
spelling, or
punctuation
errors.
Total
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Formatting
Title Page
Citation
Outline
