Page 258 - 2021 IDMT Digital
P. 258

DIVERTICULOSIS
          Introduction:
            •  3UHVHQFH RI FRORQLF GLYHUWLFXOD YDU\LQJ IURP D IHZ PLOOLPHWHUV WR VHYHUDO FHQWLPHWHUV
                 o  'LYHUWLFXOD  VDFOLNH PXFRVDO RXWSRXFKLQJV WKDW SURWUXGH IURP D WXEXODU VXUIDFH
            •  ,QFLGHQFH LQFUHDVHV ZLWK DJH      DW DJH
            •  0RVW DUH DV\PSWRPDWLF DQG IRXQG LQFLGHQWDOO\ DW HQGRVFRS\
                 o  'LYHUWLFXOD RQO\ FDXVH V\PSWRPV LI they become LQIODPHG RU LQIHFWHG
                    UHVXOWLQJ LQ GLYHUWLFXOLWLV
            •  (WLRORJ\ LV XQFHUWDLQ  PD\ UHVXOW IURP D OLIHORQJ ORZ ILEHU GLHW
          Subjective:
            •  6LJQV DQG 6\PSWRPV
                 o      KDYH XQFRPSOLFDWHG GLVHDVH DQG QR VSHFLILF V\PSWRPV
                 o  6RPH SDWLHQWV KDYH QRQ-VSHFLILF FRPSODLQWV RI DEGRPLQDO SDLQ  FRQVWLSDWLRQ  DQG
                    IOXFWXDWLQJ ERZHO KDELWV
            •  )RFXVHG +LVWRU\
                 o  'LHW DQG ILEHU LQWDNH
          Objective:
            •  3K\VLFDO ([DP
                 o  8VXDOO\ QRUPDO
                 o  $EGRPLQDO H[DP PD\ UHYHDO PLOG //4 WHQGHUQHVV
          Assessment:
            •  'LDJQRVHG RQO\ DIWHU LPDJLQJ RU HQGRVFRS\  EDULXP HQHPD  &7 05,  FRORQRVFRS\
            •  1R UHDO GLIIHUHQWLDO DIWHU GLYHUWLFXOD DUH QRWHG RQ LPDJLQJ
          Plan:
            •  (QFRXUDJH D KLJK ILEHU GLHW
            •  )LEHU VXSSOHPHQWV
                 o  3V\OOLXP
                 o  0HWK\OFHOOXORVH
          Patient Education:
            •  )ROORZ XS $FWLRQV
                 o  ,Q D SDWLHQW ZLWK NQRZQ GLYHUWLFXORVLV  SURFHHG WR (5 RU (9$& IRU VLJQV RI
                    GLYHUWLFXOLWLV  WHQGHUQHVV LQ WKH OHIW ORZHU TXDGUDQW DQG IHYHU
          Preceptor Directive:
            •  Green Directive: Routine Review by Preceptor IAW AFI 44-103





















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