NR 283 Week 5 Discussion; Ms. F, 48 years old, has been admitted to the hospital
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$15.00
| Institution | NR 283 Pathophysiology |
| Contributor | Stephen |
The initial post must include responses to all the questions in both case studies.
Ms. F, 48 years old, has been admitted to the hospital with severe abdominal pain. Earlier that day she had generalized abdominal pain, followed by a severe pain in the lower right quadrant of her abdomen, accompanied by nausea and vomiting. That evening she was feeling slightly improved and the pain seemed to subside somewhat. Later that night, severe, steady abdominal pain developed, with vomiting. A friend took her to the hospital, where examination demonstrated lower right quadrant tenderness and mild abdominal rigidity. Fever and leukocytosis indicated infection. A diagnosis of acute appendicitis, with possible perforation, was indicated, with immediate surgery.
Discussion Questions
- Why is the sequence of pain (location and type of pain) significant in the diagnosis of acute appendicitis? Describe the rational for each type of pain. Does this sequence confirm the diagnosis?
The sequence of pain, location and type is significant when diagnosing acute appendicitis because there are other organs in the abdomen region that also can cause flare ups and infection. An appendicitis can develop “silently” and also dissipate just to come back with more server and localized pain (Hubert & VanMeter, 2018). The sequence of events with abdominal pain earlier in the day that improved just to become sever and concentrated with nausea and vomiting were clear indications. Nausea and vomiting are common especially as it progresses.
- Using the pathophysiology, describe the reason for:
- the pain subsiding and then recurring: The pain subsiding would be a indication of rupture of the appendix. Pain reoccurs shortly after because peritonitis develops post rupture (Hubert & VanMeter, 2018).
- leukocytosis and fever: Leukocytosis and fever occur because there is inflammation developing post rupture.
- abdominal rigidity: Abdominal rigidity occurs because of peritonitis as well as tachycardia and boardlike abdomen (Hubert & VanMeter, 2018).
| Instituition / Term | |
| Term | Fall |
| Institution | NR 283 Pathophysiology |
| Contributor | Stephen |
