Hernia Case Summary

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This patient is a 56-year-old female who required inpatient hospitalization due to incarcerated ventral Hernia. She was presented to the emergency department due to complaints of abdominal distension and diffuses abdominal pain scaling 10/10 associated with watery diarrhea, dizziness with sweats.
Her past medical history was suggestive of Hypertension, cigarette smoking and newly diagnosed Diabetes mellitus. Upon physical examination she exhibited a soft abdomen mildly distended with palpable hernia. She also reported episodes of nausea and vomiting. Her temperature was recorded as 35.6 degrees Celsius (indicated as low). She underwent computed tomography which later revealed small midline umbilical ventral hernia. Her laboratory finding presented a ph. Blood gas of 7.49, a partial pressure of carbon dioxide 29 mmHg, partial pressure oxygen of 67 mmol/L which was all noted as elevated and bicarbonate level of 22.1 mmol/L (noted as low). Additional blood work was done such as a white blood cell count of 19.6 K/ul, a red blood cell count of 6.29 million/ul, a hemoglobin level of 18.3 gm/dl and hematocrit level of 55.7% (all noted as above normal). Moreover glucose level revealed a 158 mg/dl result which noted as high. Her liver function test also revealed an elevated result included of total protein of 8.2 gm/dl …show more content…
During her hospitalization she was kept on N.P.O and introduced intravenous hydration. Nasogastric tube to low intermittent suction was also advised. The physician scheduled her for incarcerated ventral hernia repair with mesh with possible bowel resection. It was explained to her that the complication of this condition including, but not limited to bleeding, infection, injury to surrounding tissues, failure of wound healing and possibility of death. After surgery she was on foley catheterization. It was advised that after surgery she must ambulate and have Lovenox
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