Ogilvie Syndrome

OGILVIE SYNDROME 1.

CHIEF COMPLAINT •Ogilvie Syndrome

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HPI a. Concern: b. Onset•Sudden •Gradual c. Duration: ____ •Recent •A few days •Many days •A few weeks •Many weeks •A few months •Many months •A few years •Many years •Recurrent •N/A. d. Severity: •Mild •Moderate •Severe •Absent •Normal •Increased •Decreased •Stable •No significant change from prior visit. •Details e. Location: f. Radiation: g. Quality : •Improving

•No change •Worsening •Burning pain •Constricting •Crushing •Dull pain •Heavy •Sharp pain •Squeezing •Stabbing h. Frequancy i. Status j. Context k. Aggravated by : l. Relieved by m. Associated Symptoms n. Pertinent Negatives o. Notes 3. 4. • • • •

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ROS SYMPTOMS Abdominal pain Nausea and vomiting Constipation Fever HISTORY

a. FAMILY HISTORY b. SOCIAL HISTORY c. PAST MEDICAL HISTORY •myocardial infarction

•congestive heart failure •pulmonary disease •Hyponatremia •Hypokalemia •Hypocalcemia •hypercalcemia •Hypomagnesemia •Severe cardiovascular disease • d. SURGICAL HISTORY o Abdominal surgery o Orthopedic surgery o Neurologic surgery o Urologic surgery o Cardiac surgery e. CHRONIC CONDITIONS 6. 7. • • •

ALLERGIES PHYSICAL EXAMINATION Abdominal distention Abdominal tenderness Bowel sounds o Normal or hyperactive o Hypoactive, high pitched, or absent

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SPECIFIC DATA LIKE GRADING

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TESTS TO BE ORDERED •CBC count •Electrolytes •Liver function profile •Plain abdominal films •CT scan •Gastrografin enema •Barium enema •Colonoscopy

10. ASSESSMENT/PLAN •Administer intravenous fluids to correct any volume deficit. •Correct electrolyte imbalances. •Nasogastric suction or decompression can be helpful; furthermore, •Rectal tube decompression. •Colonoscopic decompression of the colon Surgical Care •Tube cecostomy •Subtotal colectomy 11. EDUCATION 12. MEDICATION •Neostigmine •Polyethylene glycol 13. FOLLOW UP