Posted: September 16th, 2024

Clinical Judgement Plan

Clinical Judgement Plan

 
 

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Lab Tests with Values
(Include normal ranges, dates, and rationales of abnormal results)

Lab Tests or
Diagnostic Tests
Normal Ranges Admission Lab Values
Current Lab Values Explain Abnormal Results R/T Your Patient
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Physical Assessment/Review of Systems

 

 
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Clinical Judgement Plan

Irritable Bowel Syndrome (IBS) symptoms and treatments:

Symptoms:
IBS is characterized by abdominal pain, bloating, and changes in bowel habits such as diarrhea or constipation.

Current Treatments:
a) Medications:

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Alosetron: A 5-HT3 antagonist approved for IBS with diarrhea (IBS-D). It may relieve abdominal pain and slow bowel transit.
Amitriptyline: A recent study (ATLANTIS trial) found that low doses of amitriptyline were effective at reducing IBS symptoms at 6 months. It's now recommended that GPs offer it to patients with IBS.
b) Probiotics: Some studies suggest that certain probiotics may relieve IBS symptoms such as abdominal pain, bloating, and diarrhea.

c) Stress Reduction: Techniques like yoga are being explored for symptom management.

d) Dietary Adjustments: A recent study (as of April 2024) found that dietary treatment is more effective than medicines for IBS. Over 70% of patients had significantly reduced symptoms with dietary changes.

Lifestyle Factors:
A new study (February 2024) suggests that adopting a healthy lifestyle could help prevent IBS. This includes:
Getting quality sleep
Regular exercise
Not smoking
Emerging Research:
The gut microenvironment is a focus of recent studies, highlighting the importance of gut microbiome alterations in IBS.
Relaxation therapy: A 2021 review of 6 studies with 278 IBS patients found that relaxation therapy was not helpful for abdominal pain or overall IBS symptoms.
Future Directions:
Research is ongoing to develop new and improved treatments for IBS, with a focus on understanding the underlying mechanisms and finding more targeted therapies.

Tags: Biopsychosocial Model, Gut Microbiome, Neuromodulation, Rome IV Criteria