HOST

1 month old
female

AGENT
Defective gene on an autosome from
both parents
Present but defective ganglion
cells
Absence of nerve cells associated to
rectosphincter
No nerve impulses to rectosphincter

Loss of rectosphincter reflex

Signs and Symptoms:

Fever
Labs:
10/24/14
N.V.
NEU
8.1
1.803H
8.00
WBC
14.
4.502H
13.0
MON
2.2
0.00-.8
O
6H
00
BASO .
0.00-.2
281 00
H

No bowel
sounds

Paralytic ileus
Fecal Stasis

Waste travel to
appendix

Fecal impaction
Build up and reflux of fecal matter into the
stomach

Fecalith obstruction in
appendix
Bacterial
growth
A

Explore Laparotomy
last 10/27/14

Intestinal
Obstruction
B

Vomitus of
green bile last
10/21/14
OGT output of
greenish bilus

Colostomy last
10/27/14

Inflammation of the lumen of

appendix
Appendectomy at
10/27/14
Specimen result at
10/27/14
Result: Acute
Appendicitis

Stool cannot be
evacuated

Appendicits

Swelling

Intestinal flora may broken

down into basic
components

Rupture

Increase
bilirubin

Peritonitis
Sepsis

Signs/symptoms:
-jaundice
Labs
Liver Function
Indirect Bilirubin result s at:
10/24/14
10/28/14
11/09/14
19.23
14.30
10.23

G.I.
bleeding

N.V.
0.10-1.00

10/28/14
16.24

11/09/14
15.45

N.V.
0.10-1.40

11/09/14
5.22

N.V.
0.00-0.40

Direct Bilirubin
10/24/14
.073

10/28/14
1.94

Hemorrha
gic shock
due to
blood loss
Rapid fluid
loss

Total Bilirubin
10/24/14
19.96

Formation of
ulceration

Urinalysis result last 11/15/14

Multiple
organ failure
due to
inadequate
circulating
volume
Inadequate
perfusion

Thickening of bowel
wall and narrowed
intestinal passage

Leakage of
fecal

Obstruction causes
swelling in the passage of
bowel contents

Proliferatio
n of
number of
bacteria

Causes
vomiting and
abdominal

Sepsis
Bacteria
enters the
respiratory
tract
Inflammati
on
Increase
Vascular
permeabili
ty
E

Signs and
Symptoms
Weight loss of .
5kg
Abdominal

Hypovole
mic shock

Increase
fluid
accumulati
on in the
Increase
fluid
accumulati
on in the
Damage
ventilation

Death

Signs and Symptoms:

11/12/14
Nasal flaring
Intercostal
retractions
Use of accessory
muscles
Labs
Chest x-ray (11/03/14)
Result:
Examination reveals
there is a patch of
density noted in the
left lower lung.