Determining The Precise Cause of Abdominal Pain Essay

A male went to the emergency room for severe midepigastric abdominal pain. He was diagnosed with AAA ; however, as a precaution, the doctor ordered a CTA scan.

Because of a high potential for misdiagnosis, determining the precise cause of abdominal pain can be time consuming and challenging. By analyzing case studies of abnormal abdominal findings, nurses can prepare themselves to better diagnose conditions in the abdomen. Determining The Precise Cause of Abdominal Pain Essay

In this Lab Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.

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To Prepare
Review the Episodic note case study your instructor provides you for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your Episodic note case study. Determining The Precise Cause of Abdominal Pain Essay

With regard to the Episodic note case study provided:
Review this week’s Learning Resources, and consider the insights they provide about the case study.
Consider what history would be necessary to collect from the patient in the case study.
Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
Identify at least five possible conditions that may be considered in a differential diagnosis for the patient. Determining The Precise Cause of Abdominal Pain Essay
The Assignment
Analyze the subjective portion of the note. List additional information that should be included in the documentation.
Analyze the objective portion of the note. List additional information that should be included in the documentation.
Is the assessment supported by the subjective and objective information? Why or why not?
What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?
Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature. Determining The Precise Cause of Abdominal Pain Essay

Welcome to Week 6. This week, you have two assignments for grading, the midterm exam, and an analysis of a SOAP note. The SOAP note has been provided below. In the past, it has been easier for students to write the analysis in narrative form. However, I have had students use the SOAP format and include the missing data. Either way is fine if you have the required information. Please use the rubric for guidance to make sure you have everything that is required. This is what I will use for grading. Determining The Precise Cause of Abdominal Pain Essay

The next assignment is the midterm exam. The midterm exam is due by Day 7. If you did not access the exam review guide in Week 5, you can find it in the “Resources” section for this week. Per Walden’s policy, no outside resources including books, notes, websites, or any other type of resource are to be used to complete this exam. Students are expected to comply with Walden University’s Code of Conduct. The exam will be on topics covered in weeks 1, 2, 3, 4, 5, and 6. The exam is timed with a limit of two hours for completion. When time is up, the exam will automatically submit. Determining The Precise Cause of Abdominal Pain Essay

There is also Abdominal Lab assignment is Shadow Health that must be completed. I am in the process of finishing up Week 4 grades. Since tomorrow is a holiday, I will allow one extra day to turn in Week 6 assignment. If you have any questions, please feel free to reach out to me.

Have a great week!

Dr. Benefield

ABDOMINAL ASSESSMENT Case Study Determining The Precise Cause of Abdominal Pain Essay

Subjective:

CC: “My stomach has been hurting for the past two days.”

HPI: LZ, 65 y/o AA male, presents to the emergency department with a two days history of intermittent epigastric abdominal pain that radiates into his back. He went to the local Urgent Care where was given PPI’s with no relief. At this time, the patient reports that the pain has been increasing in severity over the past few hours; he vomited after lunch, which led his to go to the ED at this time. He has not experienced fever, diarrhea, or other symptoms associated with his abdominal pain. Determining The Precise Cause of Abdominal Pain Essay

PMH: HTN

Medications: Metoprolol 50mg

Allergies: NKDA

FH: HTN, Gerd, Hyperlipidemia

Social Hx: ETOH, smoking for 20 years but quit both 2 years ago, divorced for 5 years, 3 children, 2 males, 1 female

Objective:

VS: Temp 98.2; BP 91/60; RR 16; P 76; HT 6’10”; WT 262lbs
Heart: RRR, no murmurs
Lungs: CTA, chest wall symmetrical Determining The Precise Cause of Abdominal Pain Essay
Skin: Intact without lesions, no urticaria
Abd: abdomen is tender in the epigastric area with guarding but without mass or rebound.
Diagnostics: US and CTA
Assessment:

Abdominal Aortic Aneurysm (AAA)
Perforated Ulcer Determining The Precise Cause of Abdominal Pain Essay