Acute Gastritis Essay

Total Length: 714 words ( 2 double-spaced pages)

Total Sources: 4

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CHIEF COMPLAINT: Constant abdominal pain with N/V for 4 days

HISTORY OF PRESENT ILLNESS: The patient is a 24-year-old African American female who presents to the clinic with abdominal pain, nausea, as well as vomiting. According to the patient, she has not experienced fever and she has not noticed any blood in her stool or vomit.

ASSESSMENT:

A 24-year-old African American woman presents to the clinic complaining of abdominal pain, nausea and vomiting. Upon enquiry, she denies any blood in the stool or vomit. She also denies any fever. Patient medical history is not available. Although acute gastritis is suspected, there will be need to conduct a few tests to ascertain the exact cause of the symptoms the patient presents. It is important to note that acute gastritis could be caused by many factors. These, according to Emergency Nurses Association – ENA (2007) include, but they are not limited to, “ingestion of nonsteroidal anti-inflammatory drugs (NSAIDs), alcohol, salicylates, steroids, caustic ingestion (acids, alkalis, or food with excessive seasoning), or indigestion of infected foods” (163). As ENA further points out, other causes could in this case be inclusive of viral or bacterial infections, tobacco, or emotional/physical stress. It is important to note that one of the key culprits as far as bacterial infections are concerned is H. pylori.
According to LeMone, Burke, Dwyer, Levett-Jones, Moxham, and Reid-Seari (2015), “manifestations of acute gastritis may range from asymptomatic to mild heartburn to severe gastric distress, vomiting and bleeding with hematemesis…” (691). The patient in this case presents with severe abdominal pain and vomiting. Other symptoms in this case could include, but they are not necessarily limited to, indigestion and loss of appetite. Acute gastritis can be diagnosed in several ways. In addition to endoscopy to examine the patient’s upper digestive system, H. pylori tests may also be conducted. The patient’s upper digestive system may also be X-rayed to identify abnormalities.

PLAN:

An endoscopy will come in handy in seeking for signs of inflammation in the patient’s upper digestive system. In instances whereby an area that appears suspicious is identified, biopsy will be necessary after which samples will be taken for examination in the laboratory. It is important to note that biopsy could help in the detection H. pylori in the lining of the patient’s stomach. Upon an assessment of what caused acute gastritis, the appropriate treatment plan can….....

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References

Emergency Nurses Association – ENA (2007). Emergency Nursing Core Curriculum. Elsevier Health Sciences (6th ed.). St. Louis, Missouri: Sunders Elsevier.

Hauser, S. (Ed.). (2011). Mayo Clinic Gastroenterology and Hepatology Board Review (4th ed.). New York, NY: Oxford University Press.

LeMone, P., Burke, K., Dwyer, T., Levett-Jones, T., Moxham, L. & Reid-Seari, K. (2015). Medical-Surgical Nursing: Critical Thinking for Person-Centered Care. Mason, OH: Pearson Higher Education.

Taylor, R.B. (Ed.). (2013). Family Medicine: Principles and Practice. New York, NY: Springer-Verlag.
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2012). Gastritis, according to Pooler (2009) could either be grouped as chronic or acute. In essence, acute gastritis, in the words of the author, “is characterized by an acute mucosal inflammatory process, usually transient in nature” (885). As the author further points out, the condition is in most cases associated with bacterial toxins or alcohol, and aspirin as well as other NSAIDs (Pooler, 2009). On the other hand, when it comes to chronic gastritis, Pooler (2009) points out that the same is “characterized by the absence of grossly visible erosions… Continue Reading...

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