A 39-year-old Caucasian female with past medical

A 39-year-old Caucasian female with past medical history of abdominal hernia repair came with c/o intermittent vomiting and generalized abdominal pain. States her symptoms started four days ago, and worsening since then. She states she feels like bloated. She denies any fever, chills, bloody diarrhea. Her last BM was 5 days ago. She has never experienced something like this. She had no other medical or surgical history of note and was not taking any regular medications. Qa. What 5 pertinent questions will you ask in developing your history of present illness to help you arrive at a set of differential diagnoses? Qb. On Physical examination, what are the key clinical findings that will support the clinical presentation/diagnosis? Qc. What will be the rationale to obtain a CT scan vs an abdominal Xray for this patient? Qd. List 3 specific physical assessment examinations you would perform to rule out three main differential dx. Qe. What is your final diagnosis? And what’s the rationale behind your final dx? List 3 subjective and 3 objective info supporting your leading diagnosis.

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