Diverticular Disease

 

Discuss the following:

Clinical manifestations
Differential diagnosis (at least 3)
Diagnostic testing (if any)
Pharmacological treatments: What are the first and second lines of treatments?
Non-pharmacological treatments
Life-Span Considerations

Sample Solution

Diverticulitis is a condition in which small pouches form in the lining of the digestive tract, most commonly the large intestine – causing abdominal pain and inflammation. It can occur at any age but is more common among those aged 40 or over (Yousaf et al 2017).

Clinical manifestations of this disease may include sudden onset abdominal pain, bloating, cramps and fever accompanied by an increased white blood cell count. In some cases constipation or diarrhea may also be present (Johns Hopkins Medicine 2018).

Diagnosing diverticular disease involves ruling out other possible causes such as Crohn’s Disease, irritable bowel syndrome or appendicitis. This can be done through physical assessment including palpation of the abdomen as well as additional tests such as blood work, imaging scans and colonoscopy procedures (Kumar & Clark 2009).

The primary treatment for Diverticulitis is antibiotics to help clear any infection along with dietary changes to manage symptoms. These may involve reducing fibre intake when flares are active and increasing it once they have passed (Cleveland Clinic 2020). If these measures fail then surgery to remove part of the infected area may be necessary – however this should only be used if absolutely necessary due to its high risk nature.

ow was development used as a military good situation in European colonization? In Jared Precious stone’s talk, “Firearms, Microbes, and Steel” He displayed strong conflicts with respect to how development gave them an enormous ideal situation in the midst of triumph. Precious stones’ best reasons will be explain in this article and used to analyze this conflict. Regardless, Europeans had steel and weapons, the two things were used to butcher Nearby Americans in the bleeding edge. Nearby Americans didn’t have about a comparable guarded layer and guns that Europeans did, they used stones and their family. Disorder expected a vital work in various achievement, especially in the midst of European triumph. Ailments would murder and spread among Nearby American peoples and reduction their general population numbers. This has happened in basically all domains in the world, the general population that lives in a particular disease creates protection from it, but the people who don’t can without a very remarkable stretch pass on from it. Finally, the use of training have Europeans and Spaniards a key position when it came to expanding. They knew how to scrutinize and create, yet the Indians didn’t, so Indians were completely befuddled. They would make their courses of action and guides on their next attack, and the Indians would never be aware. Europeans and Spaniards constantly fathomed what the Indians were doing, so they could never find them resting with a frightening attack or catch. Development was a huge military favored viewpoint to Europeans and Spaniard since they had the method for making steel, collect ships, and go against disease through development

Jewel shows his dispute by introducing the utilization and making of steel in the European social class. They had loads of it, and they manufactured materials delivered utilizing steel to empower them to win wars and battles. They had steel swords, edges, spears, and guarded layer to safeguard their bodies from any naughtiness. It was a deep rooted truth that Nearby Americans were still in the “stone age” despite everything relied upon stones, earth, and people to fight in battles. Valuable stone communicates, “The oddity of ponies, steel weapons, and firearms without a doubt deadened the Incas at Cajamarca, yet the fights after Cajamarca were battled against decided obstruction by Inca armed forces that had previously seen Spanish weapons and ponies.” (pg. 73). Weapons expected a minor work in the disaster area, yet hugy impacted the Neighborhood Americans, intellectually. European weapons were their most critical movement at this point, and were viewed as earth shattering by their adversary. This caused Indians to feel weak and squashed without beginning the battle, it was embedded to them that they were no partner for these strong and pushed people. The inspiration driving for what reason is in light of the fact that it seemed like a Russian roulette redirection, no one knew when it would hit them or from where, the Spaniards picked their targets and ended. Regardless of the way that weapons in those days missed their goal piece of the time and expected a huge timespan to reload, it would scared them to death.

Spaniards and Europeans knew how to scrutinize and form, and the Indians didn’t, from this time forward why they were productive in getting their family. Their most imperative favored outlook was that they understood how to fabricate, they had staff who assisted them with gathering, and they had the satisfactory resources for do thusly. Spaniards and Europeans fundamentally gathered boats to investigate their way to deal with vanquish show up through the ocean. This was the quickest strategy to get beginning with one region then onto the following, it is the means by which they sorted out some way to colonize people so quickly. Nearby Americans were ceaselessly by strolling, since they missed the mark on the learning and resources for collect ships or guns. Jewel reinforces this case by expressing,”Piazarro come to Cajamarca through European man time innovation, which assembled the boats that took him across the Atlantic from Spain to Panama, and afterward in the pacific from Panama to Peru” (pg. 75-76). Spaniard were simply prepared to defeat show up because they had the help of European development and learning. They knew how to examine maps, headings, letters, an

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