Reference no: EM133994583

Question

T.M. is an 18-year-old male admitted with CC: dizziness and near syncopal episode. He just returned home for winter break from college. He reports having a three-week history of frequent loose brown stools with streaks of bright red blood. He did not seek medical attention because he was studying for finals and was worried about failing. He is alert and oriented X 3, his color is pale, his lips are pale and cracked, he appears to have sunken eyeballs, pale conjunctiva, lungs CTA, thready pulse, abdomen is soft and distended with hyperactive BS in all quadrants, no abdominal masses, no HSM. He reports abdominal pain in the periumbilical area with intermittent cramping. Abdominal pain is reported as 6 on a scale of 1 to 10. His capillary refill is 3 seconds. He reports a history of ulcerative colitis, with remission of his symptoms for one year. His last hospitalization was upon initial diagnosis at 13 years old. He is presently taking no medication and has no other medical conditions or past history of surgery or foreign travel. VS T 99.1 P 118 R 24 BP 100/56. CBC and type and cross match were drawn in the ER and the Hgb.