Discussion 1 week 5

After completing your iHuman Case Study, answer the following questions:

• What is your list of appropriate differential diagnoses and why?

– appendicitis

-pancreatitis, acute

– peptic ulcer disease

– small bowel obstruction

• What is the final diagnosis and what assessment findings serve to support this?

appendicitis

• What are the specific auscultation palpation findings of the abdomen that are normal versus abnormal?

abdomen soft, mild to moderate tenderness at midabdominal palpation, silight guarding and rebound tenderness, No ascites noted. No pulsatile masses, no abdominal bruits ascultated.  BS present in all 4 quadraqnts.  No hepatosplenomegaly noted. Rectal exam: 1 to 2+ to internal palpation.

Case Study:

Jerome Cauthen, 22 years old, male, c/o abdominal pain thata started 8 hours ago a become little worse in the time. Denies nausea, vomits and diarrhea. Pain no related with food. reports can’t keep himself standed, the pain is pushing him to lie down.

Physical exam:

abdomen soft, mild to moderate tenderness at midabdominal palpation, silight guarding and rebound tenderness, No ascites noted. No pulsatile masses, no abdominal bruits ascultated.  BS present in all 4 quadraqnts.  No hepatosplenomegaly noted. Rectal exam: 1 to 2+ to internal palpation.

Special tests:

CT scan positive for appendicitis