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An 83 year old woman who is a resident in a nursing home is admitted to hospital with a 4days history of diarrhea. She has had no weight loss or change in appetite. She has been on analgesics is the single most appropriate immediate management?

waelhammad
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2022-10-30
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An 83 year old woman who is a resident in a nursing home is admitted to hospital with a 4days history of diarrhea. She has had no weight loss or change in appetite. She has been on analgesics for 3wks for her back pain. She is in obvious discomfort. On rectal exam: fecal impaction. What is the single most appropriate immediate management?

 

  1. Codeine phosphate for pain relief
  2. High fiber diet
  3. Oral laxative
  4. Phosphate enema
  5. Urinary catheterization
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waelhammad
2022-10-30
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The key is D. Phosphate enema. [In feacal impaction oral laxative is not the choice but phosphate enema is the best option here].

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