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Subjective 2 days PTA, D.G. noted abdominal

Subjective 2 days PTA, D.G. noted abdominal pain in umbilical region. Now pain is sharp and severe, and he points to location in RLQ. No BM for 2 days. No appetite. Nausea and vomiting off and on 1 day; no blood in vomitus. Objective Inspection: Temp 100.4° F (38° C). Pulse 116 bpm. Resp 18/min. BP 112/70 mm Hg. Lying on side with knees drawn up under chin. Resists any movement. Face tight and occasionally grimacing. Cries out with any sudden movement. Auscultation: No bowel sounds present. No vascular sounds. Percussion: Tympany. Percussion over RLQ leads to tenderness. Palpation: Abdominal wall is rigid and board like. Extreme tenderness to palpation in RLQ. Rebound tenderness is present in RLQ. Positive iliopsoas muscle test. Alvarado score 7 with no laboratory results available yet. READ THE ATTACHED SCENARIOS 1. WHAT ARE THE QUESTIONS YOU WILL ASK TO A CLIENT WHO PRESENTED TO THE CLINIC WITH ABDOMINAL PAIN? 2. WHAT ARE THE NORMAL AND ABNORMAL FINDINGS YOU COULD THINK FROM THE CLIENT’S DATA ANALYSIS? SCIENCE HEALTH SCIENCE NURSING NURS 110

 
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