Topic > Case Study 4 - 521

A 75-year-old patient was admitted to hospital with diverticulitis. He reports that he was diagnosed with something similar many years ago, but this is the first time he has been required to be hospitalized. Based on your knowledge of the gastrointestinal system, what is the most likely initial diagnosis this patient had? ? How does this diagnosis differ from your current admitting diagnosis? Discuss potential treatment for both of these disorders. What is the most likely initial diagnosis? The gentleman was most likely diagnosed with diverticulosis. According to Grossman and Porth (2014), diverticulosis is a condition that occurs most often in the distal descending colon and sigmoid colon. Diverticulosis is the presence of diverticula or pouches in the large intestine that are the result of muscle overactivity (Black's Medical Dictionary, 2010). Diverticula occur due to a weakening of the intestinal wall. Grossman and Porth state factors that contribute to the development of diverticula include poor intake of dietary fiber, poor bowel habits, decreased physical activity, and the effects of aging. According to Grossman and Porth, diverticular disease affects approximately 40% of the population by age 60 and 60% of the population by age 80 (Grossman & Porth, 2014, p. 1192). How does diverticulitis differ from diverticulosis? According to Grossman and Porth Porth (2014), diverticulitis is a complication of the condition diverticulosis. Individuals affected by diverticulosis according to Grossman and Porth are asymptomatic. Grossman and Porth explain that individuals who experience symptoms of diverticulosis have unclear lower abdominal pain, a change in bowel habits, bloating, and flatulence. Grossman and Porth state that...... half of the paper...... ). Diverticulous. In the (42nd). Retrieved from http://literati.credoreference.com.southuniversity.libproxy.edmc.edu/content/entry/blackmed/diverticulosis/0Diverticulosis and Diverticulitis. (2008, autumn). Journal of Practical Nursing, 58(3), 15-18. Retrieved from http://search.proquest.com.southuniversity.libproxy.edmc.edu/nursing/docview/228036575/5C888EB98DD3466DPQ/8?accountid=87314Grossman, S. C., & Porth, C. M. (2014). Porth Pathophysiology: Concepts of Altered Health States (9th ed.). Retrieved from https://digitalbookshelf.southuniversity.edu/#/books/9781469871639/pages/107746227Tursi, A. (2012, September 18). Advances in the management of colonic diverticulitis. Journal of the Canadian Medical Association, 184(13), 1470-1476. Retrieved from http://search.proquest.com.southuniversity.libproxy.edmc.edu/nursing/docview/1069228258/433D16B11F044E22PQ/2?accountid=87314