T.H., a 57-year-old stockbroker, has come to the
gastroenterologist for treatment of recurrent mild to severe
cramping in his abdomen and blood-streaked stool. You are the
registered nurse doing his initial workup. Your findings include a
mildly obese man who demonstrates moderate guarding of his abdomen
with both direct and rebound tenderness, especially in the left
lower quadrant (LLQ). His vital signs are 168/98, 110, 24, 100.4° F
(38° C); he is slightly diaphoretic. T.H. reports that he has
periodic constipation. He has had previous episodes of abdominal
cramping, but this time the pain is getting worse. Past medical
history reveals that T.H. has a "sedentary job with lots of
emotional moments," he has smoked a pack of cigarettes a day for 30
years, and he had "two or three mixed drinks in the evening" until
2 months ago. He states, "I haven't had anything to drink in 2
months." He denies having regular exercise: "just no time." His
diet consists mostly of "white bread, meat, potatoes, and ice cream
with fruit and nuts over it." He denies having a history of cardiac
or pulmonary problems and has no personal history of cancer,
although his father and older brother died of colon cancer. He
takes no medications and denies the use of any other drugs or
What are the signs and symptoms of an allergic reaction?
The signs and symptoms of an allergic reaction are abdominal cramping, guarding of the abdomen with both direct and rebound tenderness in the left lower quadrant, digestive issues including periodic constipation, increased temperature, diaphoresis. These are the signs and symptoms of an allergic reaction that T.H. has. Other than these symptoms, generally, a drop in blood pressure, hives, breathing difficulty, tongue swelling, bluish or pale discoloration of skin etc, are also seen associated with allergic reaction.
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