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6 years old female patient ... - The Hendren Project · BMW Friday Clinic and X-ray • Residual...

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Review of Patient • 6 years old female patient presenting with fecal incontinence due to spina bifida
Transcript
Page 1: 6 years old female patient ... - The Hendren Project · BMW Friday Clinic and X-ray • Residual contrast on x-ray • Enema- 350 mL NS + 20 mL glycerin • Mother was taught enema

ReviewofPatient

• 6yearsoldfemalepatientpresentingwithfecalincontinenceduetospina bifida

Page 2: 6 years old female patient ... - The Hendren Project · BMW Friday Clinic and X-ray • Residual contrast on x-ray • Enema- 350 mL NS + 20 mL glycerin • Mother was taught enema

ContrastEnema(Wednesday)

Page 3: 6 years old female patient ... - The Hendren Project · BMW Friday Clinic and X-ray • Residual contrast on x-ray • Enema- 350 mL NS + 20 mL glycerin • Mother was taught enema

BMWFridayClinicandX-ray

• Residualcontrastonx-ray• Enema- 350mLNS+20

mLglycerin• Motherwastaught

enematechniqueinclinic• MotherwillcallRN

Mondaymorningafterx-raywithweekendreport

Page 4: 6 years old female patient ... - The Hendren Project · BMW Friday Clinic and X-ray • Residual contrast on x-ray • Enema- 350 mL NS + 20 mL glycerin • Mother was taught enema

BMWMondayClinicandX-ray• ReportofonefecalsmearonSaturday

• Leakingenemasolutionduringinfusion

• X-rayclean• Enemachangedto350mLNS+15mLglycerin

• Reeducatedonenematechnique

Page 5: 6 years old female patient ... - The Hendren Project · BMW Friday Clinic and X-ray • Residual contrast on x-ray • Enema- 350 mL NS + 20 mL glycerin • Mother was taught enema

BMWDay4(Tuesday)• Reportof3diarrhea

accidentsMondayafternoonafterclinicvisit

• Reportofsmallsmearsthismorning2hoursafterenemagiven

• X-rayclean• Continuewithsame

enemaof350mLNS+15mLglycerin

Page 6: 6 years old female patient ... - The Hendren Project · BMW Friday Clinic and X-ray • Residual contrast on x-ray • Enema- 350 mL NS + 20 mL glycerin • Mother was taught enema

BMWDay5(Wednesday)• Reportofmediumsizediarrhea6hoursafterenema

• X-rayclean• Enemachangedto300mLNS+10mLglycerin

Page 7: 6 years old female patient ... - The Hendren Project · BMW Friday Clinic and X-ray • Residual contrast on x-ray • Enema- 350 mL NS + 20 mL glycerin • Mother was taught enema

BMWDay6(Thursday)• Accidentfree• X-rayclean• Continuewithsameenemaof300mLNS+10mLglycerin

Page 8: 6 years old female patient ... - The Hendren Project · BMW Friday Clinic and X-ray • Residual contrast on x-ray • Enema- 350 mL NS + 20 mL glycerin • Mother was taught enema

BMWDay7(Friday)• Accidentfree• X-rayclean• SuccessfulBowelManagement


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