Abdomen pain physical assessment, diagnostic plan,

week 5 posting

This week, complete the case study titled “Jerome Cauthen” write a 2-3 pages to answer the following questions using only peer -reviewed articles or evidence -based websites, NO patient or customer websites as reference. APA format.

Using the Case Study provided answer the following questions:

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

* What is the final diagnosis and what assessment findings serve to support this? ( acute appendicitis is what I decided for final diagnosis )What are the specific auscultation palpation findings of the abdomen that are normal versus abnormal?

CASE STUDY information ;

Mr. Cauthen, a 22-year-old male, presents following the acute onset of diffuse midabdominal pain. He denies a history of gastrointestinal disease, hepatic or renal disease, previous abdominal surgery, or recent trauma. He does not use NSAIDs, aspirin, alcohol, or tobacco products.

Problem

Acute onset diffuse abdominal pain.

Most Significant Active Problem

*Rebound tenderness and guarding

*Anorexia

Expert: Problem List Feedback

The problem list allows you to begin to see the overall, or unified, constellation of significant signs and symptoms. It is also the starting point for developing, and then ranking, your diagnostic hypotheses. The pertinent presence or absence of other critical signs and symptoms will aid your assessment of the severity of the presenting complaint and your assessment of potential comorbidities.

Mr. Cauthen’s problem list is brief and seemingly focused. Nonetheless, his symptoms are fairly nonspecific; his vital signs are normal; and, there are no other physical exam findings to help guide your differential diagnosis.

However, given that rebound tenderness suggests aggravation of the inflamed parietal peritoneum, you do have an important starting point. Your differential diagnosis should be broad enough to capture several processes that can present with signs of peritoneal inflammation in an otherwise healthy young male.

Cartwright SL, Knudson, MP. Evaluation of Acute Abdominal Pain in Adults, American Family Physician. 2008;77(7):971-978.

Ebell MH. Diagnosis of Appendicitis: Part I. History and Physical Examination, American Family Physician. 2008;77(6):828-830.

Ebell MH. Diagnosis of Appendicitis: Part II. Laboratory and Imaging Tests, American Family Physician. 2008;77(8):1153-1155.

Expert Solution Preview

Introduction:

The case study of Mr. Cauthen presents a perplexing problem of acute onset diffuse abdominal pain without any significant history of gastrointestinal, hepatic or renal disease or recent trauma. The patient complains of symptoms such as rebound tenderness and guarding, and anorexia. This post will answer the following questions:

* What is your list of appropriate differential diagnoses and why?
* What is the final diagnosis, and what assessment findings serve to support this? (Acute appendicitis is what I decided for the final diagnosis). What are the specific auscultation palpation findings of the abdomen that are normal versus abnormal?

Answer:

The list of appropriate differential diagnoses for Mr. Cauthen includes quite a few possibilities. However, for this particular case study, the differential diagnoses may include acute appendicitis, pancreatitis, gastrointestinal perforation, inflammatory bowel disease, gastroenteritis, irritable bowel syndrome, renal colic, diverticulitis, or cholecystitis.

Looking at the patient’s age and symptoms, the final diagnosis would most likely be acute appendicitis. Mr. Cauthen’s symptoms of rebound tenderness and guarding support this diagnosis. According to the evidence-based website American Family Physician, the presence of such symptoms suggests aggravation of the inflamed parietal peritoneum. Moreover, the lack of specific physical examination findings, normal vital signs, and the absence of significant gastrointestinal, hepatic, or renal disease, further increases the probability of an acute appendicitis diagnosis.

On auscultation and palpation, the abdominal area should feel soft, non-tender, and non-distended. Any pain felt on palpation, especially if rebound or guarding is present, would suggest a more serious pathology. Therefore, increased or decreased bowel sounds, along with distended, tender, or hard abdomen, would be considered abnormal findings.

In conclusion, the case study of Mr. Cauthen presents a challenging diagnosis scenario. However, assessing the presenting problem and examining the symptoms and signs, as well as viewing the evidence-based websites can help to narrow down and identify the appropriate diagnosis.

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Describe and critique a current article that relates to Nursing Assignment Help

Describe and critique a current article that relates to hospital financing and competitive practices in healthcare. (Article should be from a scholarly, peer-reviewed journal published within the last 3-5 years). Submit 1,000-1,500-word paper with a KU title page and reference page in a scholarly format. You are a medical professor

GCU Patient Preferences in Care Discussion Reply Nursing Assignment Help

please respond to the following discussion as a peer making a comment. Hello everyone, Integrating patient preferences and values with clinician expertise is essential when making evidence-based decisions. This approach leads to patient-centered care, improves treatment adherence, and enhances health outcomes. Patients’ unique values, beliefs, priorities, and circumstances can significantly

UM Administrator in Training Rotation Experience Report Nursing Assignment Help

Complete and Submit the Three Sections of the Report for the Assignment: AIT Experience: LTC Settings and Services Report Template (ATTACHED) APA: Include APA 7th Edition Formatted Reference Page. ALL RESPONSES IN PARAGRAPH FORM. Complete Section 1 of the Report Select the Long Term Care (LTC) Settings and Services: ALREADY

NYU Autoimmune Disease of Myelin Abstract Nursing Assignment Help

`The disease is called MS You should read Wikipedia “Immune System”, “Antibody”,  “Antigen”, “T  cell”, “B cell”, “Macrophage”, “Dendritic cell”  for writing your abstract. It would also be good to read the Wikipedia article on MS.  The purpose of writing an abstract is to condense the material you have read

Within the Professions of Psychology Paper Nursing Assignment Help

PSY 540 Final Project Guidelines and Rubric Overview Within the professions of psychology, it can be typical for you to work on proposals for programs, studies, or new initiatives. For example, you may work for a university that regularly partners with foundations and corporations to identify grant opportunities for projects

Professional Ethics Instructions Baccalaureate education Nursing Assignment Help

Professional Ethics Instructions Baccalaureate education includes the development of professional values and value-based behavior (AACN, 2008). Ethics define professional ethics and their importance in the healthcare environment. The American Nurses Association has approved 13 standardized languages that support nursing care.  The benefits of standardized language include: better communication among nurses

Select one of the following populations: Aging Nursing Assignment Help

Select one of the following populations: Aging Population Homelessness Migrant Workers LGBTQIA+ Other Identified Vulnerable Populations from Your Reading Then complete the following steps for your discussion post: Identify which vulnerable population you have chosen to use for this post and describe what this vulnerable population looks like in your

WGU Population Health Data Analysis Paper Nursing Assignment Help

In this course, you learned that Informatics for Transforming Nursing Care integrates nursing science with multiple information and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice. This provides knowledge and skills to apply informatics concepts, communications, and data critical to facilitating interprofessional

Professional EthicsInstructions Baccalaureate education Nursing Assignment Help

Professional EthicsInstructions Baccalaureate education includes the development of professional values and value-based behavior (AACN, 2008). Ethics define professional ethics and their importance in the healthcare environment. The American Nurses Association has approved 13 standardized languages that support nursing care.  The benefits of standardized language include: better communication among nurses and

HSA 599 SU Public Health Emergencies Discussion Nursing Assignment Help

I’m working on a health & medical discussion question and need the explanation and answer to help me learn. Discuss a life-threatening event or a natural disaster in your community, such as a severe weather event, terrorist attack, or other type of public health emergency. Examine an overall strategy that

Develop a literature map or a visual representation of the Nursing Assignment Help

Develop a literature map or a visual representation of the Public Health Informatics literature.  Also include a powerpoint presentation explaining the literature map with the slides Constructing a literature map helps you: develop an understanding of the key issues and research findings in the literature organize ideas see how different research studies