Radiographic Score of McClave et al for Evaluating a Patient with an Enteral Feeding Tube

Purpose: To monitor abdominal X-rays before and after an enteral feeding using the scoring system of McClave et al.

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Evaluation

Are you evaluating abdominal X-rays from a patient with an enteral feeding tube before and after a feeding?

Yes

Number of distended loops of bowel while fasting

Number of air-fluid levels in bowel seen while fasting

Size of distended gastric bubble while fasting

Number of distended loops of bowel after an enteral feeding

Number of air-fluid levels in bowel after an enteral feeding

Size of distended gastric bubble after an enternal feeding

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Subscore for fasting X-ray appearance

Subscore for post-feeding X-ray appearance

Total score for both fasting and feeding X-rays

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Clinical Diagnosis, Including Family History For Genetics
- Physical Examination Score of McClave et al for Evaluating a Patient with an Enteral Feeding Tube
Complications
- Buried Bumper Syndrome -Percutaneous Endoscopic Gastrostomy (PEG) Tube

Therapy

Selection
- Selection of Nutritional Support Delivery Method
Administration
- Checklist for Preparing Patient for Placement of Enteral Feeding Tube
- Implementing Nutritional Support for Patient in Intensive Care Unit (ICU)

Patient Concerns

Quality Of Life
- Checklist for Preparing Patient for Placement of Enteral Feeding Tube

Specialty

Nutrition
Gastroenterology
Critical Care

Objective

clinical diagnosis
including family history for genetics

ICD-10

E43 - Unspecified severe protein-energy malnutrition
E44 - Protein-energy malnutrition of moderate and mild degree

Info

Purpose: To monitor abdominal X-rays before and after an enteral feeding using the scoring system of McClave et al.

Specialty: Nutrition, Gastroenterology, Critical Care

Objective: clinical diagnosis, including family history for genetics

ICD-10: E43, E44,

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