Question

a 49-year-old man who complain with severe abdominal pain for a week . he states he has intermittent abdominal pain.He describes the pain as an intermittent “gas-like” pain in the epigastric region. He says he feels like he needs to “burp.” He took two tablets of Naprosyn late in the evening to reduce his typical aches and pains in his knees and ankles, which feel better. He reports mild nausea but has not vomited. His last bowel movement was yesterday. He denies chest pain, palpitations nor shortness of breath. He denies chronic medical conditions and does not take any medications, OTC, prescription on a regular basis. He also denies recreational drug use but admits from 6-8 beers daily. He denies allergies.

On physical examination, his temperature is 35.4°C (95.7°F), blood pressure 111/62 mm Hg, heart rate 97 beats per minute, and respiratory rate of 28 breaths per minute sating 98% on room air. He is diaphoretic, skin is normal in color and warm. He is unable to get comfortable on the gurney and is writhing in pain. His lungs are equal, clear to auscultation with good excursion bilaterally. No rales or rhonchi are found. The abdomen is exquisitely tender on palpation to the epigastric region and both upper quadrants with focal rebound tenderness and guarding. No tenderness or masses are felt in the lower quadrants.

What other assessment should you gather on this patient?

what conditions would you suspect in this patient?write all possibilities condition ?

Answer 1

Answer : The patient is having pain in the stomach, the vital signs are normal. The other assessment that should be performed such as identifying the stiffness at the abdominal region. The food patients ate a night before, the lifestyle of the patient as well as any kind of other medication that the patient is taking.

According to mentioned symptoms and conditions there could be chances of constipation, bowel obstruction, infection in the gastrointestinal tract. Because these includes the pain, poor bowel movement, nausea, burbs, acidity etc.