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Old Jan 27, 2008 | 01:16 PM
  #21  
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Originally Posted by dshag
on an added note im scheduled for nclex feb 28th, never been nervous for a test but i just might b for this one...
good luck on the test! You got about a month left to read up on your stuff.... So you have your RN license..... and having to take the NCLEX???
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Old Jan 27, 2008 | 01:31 PM
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berto in the house
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Old Jan 27, 2008 | 07:41 PM
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Ya in texas you can work for upto 6 months with your gn permit. The hospital im at i think only allows 3 months and before then you have to pass test to keep working.
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Old Jan 27, 2008 | 09:59 PM
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ahhh i see.....

well good look on the NCLEX bro.

what up EZ???? get the turbonium on knight rider already???
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Old Jan 27, 2008 | 10:19 PM
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thanks man ill let you know how it goes, after im done i will have a couple weeks of online review you can use, it costs like 400 bucks
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Old Jan 27, 2008 | 10:36 PM
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Originally Posted by dshag
thanks man ill let you know how it goes, after im done i will have a couple weeks of online review you can use, it costs like 400 bucks
hells yeah bro!!! If im ever on that side of TX i'll get ya some brewskies!!
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Old Jan 28, 2008 | 12:03 AM
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*** no. im barely sealing the motor up finally. and im still waiting on a kmember then ill start putting it back together
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Old Jan 28, 2008 | 12:10 AM
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Originally Posted by FIREHAWK #07
only had a CBC/liver profile/electrolytes in chart..... patient went in for severe abd pain,,,, got a ct scan/mri/egd/x-ray..... diagnosed with IBS and leukocytosis.
IBS as in Irritable bowel syndrome?? Since when that causes leukoytosis that high?? That sounds like an acute abdomen...appendicitis?? Somethings not right.
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Old Jan 28, 2008 | 12:13 AM
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Theres probably infection secondary to the IBS or could primary cause...thus resulting in leukocytosis

In for severe abd pain, not apendicitis bc that would be flank or Lower left quad pain. Figure infection is caused from the ibs, the answer is in all the labs becaose the ran the liver kidney panel, electrolyte pannel and cdc.

Possible Ascites? renal involvement? billiary artresia? lots of things to consider but the labs will tell all

for apendecittis there is going to be referred pain to the upper left quad along with little pain at site... hope this helps

Last edited by dshag; Jan 28, 2008 at 12:18 AM.
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Old Jan 28, 2008 | 12:20 AM
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How is IBS diagnosed?

If you think you have IBS, seeing your doctor is the first step. IBS is generally diagnosed on the basis of a complete medical history that includes a careful description of symptoms and a physical examination.

There is no specific test for IBS, although diagnostic tests may be performed to rule out other problems. These tests may include stool sample testing, blood tests, and x rays. Typically, a doctor will perform a sigmoidoscopy, or colonoscopy, which allows the doctor to look inside the colon. This is done by inserting a small, flexible tube with a camera on the end of it through the anus. The camera then transfers the images of your colon onto a large screen for the doctor to see better.

If your test results are negative, the doctor may diagnose IBS based on your symptoms, including how often you have had abdominal pain or discomfort during the past year, when the pain starts and stops in relation to bowel function, and how your bowel frequency and stool consistency have changed. Many doctors refer to a list of specific symptoms that must be present to make a diagnosis of IBS.
Leukocytosis is NOT part of IBS.....IBS is a nightmare for Gastroenterologists due to the lack of objective positive findings. It has been even considered to have a prominent psychological component...so IBS and leukocytocis in the same sentence is not compatible.

There is never any infection related to this diagnosis...Whoever came up with those diagnosis should put up a consult with Internal medicine and Surgey ASAP.
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Old Jan 28, 2008 | 01:01 AM
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It is possible lets say you have really bad IBS, you loose nutritional value and weaken membranes. Perforation occurs and you know have IBS with secondary infection. Leukocytosis is simply high white blood cells which can be secondary to the infection. Thus resulting in a Dx of IBS with secondary infection causing leukocytosis
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Old Jan 28, 2008 | 01:03 AM
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But i see what your saying ingeneral IBS isnt realated to those directly, but complications can result such as those from IBS so they are secondary or tertiary...Its more likely to be leukopenia or a cancer of the WBC
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Old Jan 28, 2008 | 05:27 AM
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an EGD (esophagogastroduodenoscopy) was ran and found that she had edematous pockets in the intestinal folds of her duodenum.... no ulcers. ITs not really IBS, but the dr. was not able to find an exact diagnoses and labeled it as IBS.... but her WBC's were wayy up there.....
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