Similar to all patients with an attack of visceral pain, for example with biliary colic, Shannon is restless, and often changes the position of the body, trying to find a position in which the pain subsides. Therefore, first of all, the gastrointestinal exam should be performed for this patient as I will help to examine the surface of the mucous membrane and identify inflammation, ulcers, or tumors. My diagnosis will be hepatitis or obstructive jaundice due to the coincidence of the main symptoms.
The first diagnostic exam that would be needed is abdominal ultrasound, since, being the fastest, the study allows identifying neoplasms, inflammatory diseases, concretions, cysts, and the consequences of injuries. The second diagnostic exam that would be needed is a CT scan, since this method is one of the best non-invasive, and the high resolution of CT combined with advanced software allows one to reconstruct very thin slices (Odongo et al., 2022). In addition, it helps visualize changes whose dimensions do not exceed even a few millimeters, which will make it possible to detect the disease at the earliest stages (Al Umairi et al., 2018). Lab work that would be needed is a liver function test as it is mandatory for the diagnosis of various liver pathologies.
The pharmacological treatment will consist of the patient receiving metabolic therapy drugs that improve metabolism in the liver (the drug Riboxin), and phospholipid Essentiale to reduce cytolysis. The educational plan will concern the mandatory observance of Shannon’s diet number five (Odongo et al., 2022). This dies is aimed at restricting fats and consuming protein and carbohydrates in equal proportions. The patient will be informed that fats and fatty fried foods are limited in the diet, and dishes are prepared by boiling or baking without fat.
Al Umairi, R., Al Abri, A., & Kamona, A. (2018). Tuberculosis (TB) of the porta hepatis presenting with obstructive jaundice mimicking a malignant biliary tumor: A case report and review of the literature. Case Reports in Radiology, 2018, 5318197.
Odongo, C. N., Dreque, C. C., Mutiibwa, D., Bongomin, F., Oyania, F., Sikhondze, M. M., Acan, M., Atwine, R., Kirya, F., & Situma, M. (2022). Etiology, clinical presentations, and short-term treatment outcomes of extrahepatic obstructive jaundice in South-Western Uganda. Clinical and experimental gastroenterology, 15, 79–90.