Scenario/Summary
The following clinical case will illustrate how basic core concepts learned during BIO251 are applied in the clinical setting.
A 22-year-old male presents to the emergency room complaining of abdominal pain, anorexia (loss of appetite), nausea, and fever. As you inquire further about the abdominal pain, the client/patient tells you that the pain started in the umbilical region six hours ago, and is now localized in the right lower quadrant of the abdomen.
After taking the patient’s past medical history, you proceed to perform a physical examination. The findings of your physical exam show:
- Temperature of 102.3 F (39.056°C)
- Pain on palpation at the right lower quadrant
Due to the location of the appendix in the abdominal cavity, a diagnosis of appendicitis is suspected so the patient is sent to radiology to have a contrast CT performed to confirm this diagnosis.
Deliverables
Please address the following questions in complete sentences.
- Using your knowledge of abdominal quadrants and regions, which abdominal quadrant/region is the organ implicated in located?
- What is the most likely working diagnosis?
- Using your own words, why is it important for a healthcare provider to know what organs are found in each abdominopelvic quadrant/region.
- Explain why the pain migrated from the mid-abdomen to the right lower quadrant.
- What clinical manifestations should a nurse expect to see in patients suffering from acute appendicitis? (Select all answers that apply). Make use of the clinical case to assist you in answering this question.
Instituition / Term | |
Term | |
Institution | Chamberlain |
Contributor | Anika Fultz |