Male, 17 years old, 10 hours after left quarter rib trauma, thirsty, palpitations, irritability 2hours.The patient suffered a bruise on the ribs of the left upper abdomen in a car accident. At thattime, the pain was severe and he went to the hospital. The X-rays showed it confirmed that hehad a rib fracture. He felt better after bed rest and local fixation, but still had left upperabdominal pain and nausea. When waking up in the afternoon, he felt entire abdomen painand abdominal distention, accompanied by dizziness, palpitations, and thirsty and irritabilityin 2 hours.Physical examination: T37.6°C, P110 beats/min, Bp 90/60mmHg. Conscious, obvious paleconjunctiva, cardiopulmonary (-), ecchymosis and tenderness under the skin of on the ribs ofthe left upper abdomen. The abdomen is slightly swollen, and the whole abdomen has obvioustenderness, focusing on the left upper abdomen. The muscle tension is not obvious, but thereis obvious rebound pain, shifting dullness (+), and bowel sounds are audible and weak.Blood routine: Hb 82g/L, WBC 9.0x10⁹/L.Please briefly describe the diagnosis and basis of diagnosis, differential diagnosis, furtherexamination, and treatment principles.

According to this case study pt having trauma on left side of ribs and left upper quarter of abdomen…

Answered: Male, 17 years old, 10 hours after left…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

See similar textbooks

Similar questions

Female, 26 years old, married. Abdominal pain, diarrhea, fever, vomiting for 20 hours After 24 hours of eating, the patient developed abdominal discomfort, paroxysmal with nausea, vomiting stomach contents, fever and diarrhea several times, loose stools, no pus and blood, body temperature 37-38.5°C, come to our hospital for emergency, the routine test of stool was negative. She was treated according to "acute gastroenteritis". The abdominal pain worsened in the evening, accompanied by fever of 38.6°C. Then, the abdominal pain moved from the stomach to the right lower abdomen, and there was still diarrhea, she come to see a doctor again at night, check blood routine WBC21×10%/L, and be admitted to the hospital urgently. Previous history: healthy, no history of drug allergy. Physical examination: T38.7°C, P120/min, BP 100/70mmHg, no bleeding spots and rashes on the skin all over the body, no large superficial lymph nodes, no pallor of the conjunctiva, no yellow staining of the sclera,…
Choose one diagnosis and expand on its effects on digestion: oral cancer, esophageal cancer, stomach cancer, cancer of the duodenum, colon cancer, end-stage alcoholism with cirrhosis.
As you read on, you note that Vincent was hospitalized again at age 49 with dull pain in the right, upper quadrant of the abdomen, intermittent fever of 3 weeks duration, and a yellowing of the skin and the whites of the eyes. A diagnosis of "alcohol-induced hepatitis" is listed in the chart. 4. Why are Vincent's skin and eyes tinged yellow? What is this condition called?
a 23-year-old male presented to the er with a 5-day history of fever, headache, sore throat, muscle pain, nausea, and diarrhea. he described his headache as a 10/10 on a pain scale, and was worsened by bright lights, movement, or noise. He had migraines in the past but stated this felt different. He said there was not a prior history of head injury, chest pain, or ear pain. He does not have abdominal pain, dysuria, or a skin rash. No recent alcohol or illicit drug use, travel, or exposure to ticks. Upon physical exam, he had right-sided tonsillar exudates and swelling. Even though neck pain was described with his headache, the neck was supple. Following lumbar puncture, 4 nucleated cells and 87% lymphocytes were shown. CSF protein and glucose were within normal limits. He had a normal white blood cell count but a low blood lymphocyte count of 720 cells/uL (normal is 1500 - 5000/uL). Chest radiograph came back normal. CSF was sent for herpes simplex virus (HSV) PCR and for bacterial…
Male, 30 years old, who was admitted to the emergency room with abdominal pain for 4 hours The patient felt upper abdominal discomfort after drinking and overeating 5 hours ago, and felt sudden acute pain under xiphoid process 4 hours ago, accompanied by nausea and vomiting of stomach contents for several times, abdominal pain spread to the right middle and lower abdomen 3 hours ago. The patient refused to press the abdomen because of pain, fidgeting坐立不安, cold sweat. PE: flat abdomen, extensive muscle tension, obvious tenderness under xiphoid process, right middle and lower abdomen, most prominent under xiphoid process, bowel sounds occasionally heard. For further diagnosis and treatment, she was admitted to the emergency department. Intermittent epigastric pain for 8 years, apparent hunger, without systematic diagnosis and treatment. PE: T37.6℃, P104 times/min, R24 times/min, BP90/60mmhg. Acute painful appearance, irritability, no obvious changes in cardiopulmonary examination, flat…
5:44 ◄ Search Module 3: Discussion: Family A All Sections NUR 1390 06 Module 3: Discussion: Family A patient with gastritis is admitted to the healthcare facility. The patient is a single parent of two school-age children and finds it difficult to take care of the family. He also says that he has taken to alcohol since his wife's death and that everything has been going wrong since. He fears that he might lose his job soon. 1. What signs of an altered family function should the nurse look for when assessing the patient? Search entries or author 个 | ↓ 12 14 Unread C 35
Explain why infection was not thought to be the cause ofpeptic ulcer in the past.
DOB: 28 Jun 1961 | GENDER: FEMALE SITUATION Mrs Donna Hovey is a 60-year-old female who was admitted to the ward two (2) days ago for pneumonia. She is now complaining of mild pressure in her chest (rated 4/10) that started 10 minutes ago while she was lying on the bed. Mrs Hovey states she also has a slight ache in the underside of her upper left arm.She is diaphoretic and feeling a little nauseated. Mrs Hovey has developed slight shortness of breath. Her peripheries are a little cool to touch BACKGROUND Mrs Hovey has a history of Ischaemic Heart Disease (IHD), hypertension andbeginning Peripheral Vascular Disease (PVD). She had Coronary Artery Bypass Graft (CABG) surgery six (6) years ago with Saphenous Vein grafts to her Left Anterior Descending (LAD) coronary artery and diagonal branch. Mrs Hovey also had a Percutaneous Transluminal Coronary Angioplasty (PTCA) with stenting to her Right Coronary Artery (RCA) and Posterior Descending Artery (PDA). ASSESSMENT Her observations at…
is alcohol cirrhosis alcohol hapatitis?
Describe the clinical manifestation of CKD per body system.NeurologicCardiovascularPulmonaryGastrointestinalIntegumentaryElectrolyte/Acid-Base ImbalancesMusculoskeletal
says that he is experiencing severe abdominal Pain especially after eating 2. What common cause of lower right abdominal pain was the pediatrician trying to rule out with the fecal test? (Hint: if he had this condition, his body temperature would have been high.) 3. Why would Nicholas' hematocrit be lower than normal? 4. How is Meckel's diverticulum different from other types of diverticula?
Latasha’s doctor prescribed Amoxicillin for her to take for 10 days upon her diagnosis of Strep Throat. She began to feel better and stopped taking the Amoxicillin after 5 days. A couple of weeks later, she began to feel ill again and returned to the doctor. This time, the doctor prescribed that she takes the antibiotic Zithromax for 5 days.

SEE MORE QUESTIONS

Recommended textbooks for you

Phlebotomy Essentials

Nursing

ISBN:

9781451194524

Author:

Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:

JONES+BARTLETT PUBLISHERS, INC.

Gould's Pathophysiology for the Health Profession…

Nursing

ISBN:

9780323414425

Author:

Robert J Hubert BS

Publisher:

Saunders

Fundamentals Of Nursing

Nursing

ISBN:

9781496362179

Author:

Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.

Publisher:

Wolters Kluwer,

Phlebotomy Essentials

Nursing

ISBN:

9781451194524

Author:

Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:

JONES+BARTLETT PUBLISHERS, INC.

Gould's Pathophysiology for the Health Profession…

Nursing

ISBN:

9780323414425

Author:

Robert J Hubert BS

Publisher:

Saunders

Fundamentals Of Nursing

Nursing

ISBN:

9781496362179

Author:

Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.

Publisher:

Wolters Kluwer,

Fundamentals of Nursing, 9e

Nursing

ISBN:

9780323327404

Author:

Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE

Publisher:

Elsevier Science

Study Guide for Gould's Pathophysiology for the H…

Nursing

ISBN:

9780323414142

Author:

Hubert BS, Robert J; VanMeter PhD, Karin C.

Publisher:

Saunders

Issues and Ethics in the Helping Professions (Min…

Nursing

ISBN:

9781337406291

Author:

Gerald Corey, Marianne Schneider Corey, Cindy Corey

Publisher:

Cengage Learning

SEE MORE TEXTBOOKS