September 2014 critical care case of the month: bad case of colic

Abstract

No abstract available. Article truncated after 150 words. History of Present Illness: A 70 year old man with a past medical history of chronic kidney disease, bipolar disorder, benign prostatic hypertrophy, hypertension and diabetes presented to the emergency department with constipation associated with bloating for 15 days. He denies flatus. He tried over the counter laxatives (polyethylene glycol) with no relief. He has no recent history of colonoscopy or recent antibiotic use. He denies chills, diarrhea, dysuria, fever, hematochezia, hematuria, melena, nausea or vomiting. In the emergency department, he is tachypneic with a grossly distended abdomen. Past Medical History: diabetes; hypertension; chronic kidney disease; bipolar disorder; benign prostatic hypertrophy; hyperlipidemia. Past Surgical History: cholecystectomy 2012. Medications: aspirin 81 mg daily; furosemide 20 mg daily; quetiapine 300 daily; doxazosin- 4 mg daily; clonazepam 1 mg – twice daily as needed; simvastatin 20 mg – daily; pioglitazone 15 ...

Keywords

• colonic pseudo-obstruction
• CT scan
• colon
• dilatation
• neostigmine
• atelectasis
• pneumonia
• complication
• hypokalemia
• hypocalcemia
• hypomagnesemia