R.O. is a 12-year-old girl who lives with her family on a farm in a rural...
Fantastic news! We've Found the answer you've been seeking!
Question:
Transcribed Image Text:
R.O. is a 12-year-old girl who lives with her family on a farm in a rural community. R.O. has four siblings who have recently been ill with stomach pains, vomiting, diarrhea, and fever. They were seen by their primary care provider (PCP) and diagnosed with viral gastroenteritis. A week later, R.O. woke up at 0200 crying and telling her mother that her stomach "hurts really bad!" She had an elevated temperature of 37.9 C (100.2 F). R.O. began to vomit over the next few hours, so her parents took her to the local emergency department (ED). R.O.'s vital signs, complete blood count, and complete metabolic panel were normal, so she was hydrated with IV fluids and discharged to home with instructions for her parents to call their PCP or to return to the ED if her condition did not improve or if it worsened. Over the next 2 days, R.O.'s abdominal pain localized to the right lower quadrant, she refused to eat, and she had slight diarrhea. On the third day, she began to have more severe abdominal pain, increased vomiting, and fever that did not respond to acetaminophen. R.O. has returned to the ED. Her VS are 128/78, 130, 28, 39.5 C (103.1 F). R.O. is guarding her lower abdomen, prefers to lie on her side with her legs flexed, and is crying. IV access is established, and morphine sulfate 2 mg IV is administered for pain. An abdominal CT scan confirms a diagnosis of appendicitis. R.O.'s white blood count is 12,000 mm3. 1. Which of the following are common clinical manifestations of appendicitis? Select all that apply. a) Diarrhea b) Vomiting c) Left lower quadrant abdominal pain d) Constipation e) Arthralgia f) Diffuse rash g) Fever 2. Discuss why R.O.'s presenting clinical manifestations make diagnosis more difficult. Identify two other possible diagnoses. 2b. What are the early and late signs/symptoms of appendicitis and special clinical signs? R.O. is a 12-year-old girl who lives with her family on a farm in a rural community. R.O. has four siblings who have recently been ill with stomach pains, vomiting, diarrhea, and fever. They were seen by their primary care provider (PCP) and diagnosed with viral gastroenteritis. A week later, R.O. woke up at 0200 crying and telling her mother that her stomach "hurts really bad!" She had an elevated temperature of 37.9 C (100.2 F). R.O. began to vomit over the next few hours, so her parents took her to the local emergency department (ED). R.O.'s vital signs, complete blood count, and complete metabolic panel were normal, so she was hydrated with IV fluids and discharged to home with instructions for her parents to call their PCP or to return to the ED if her condition did not improve or if it worsened. Over the next 2 days, R.O.'s abdominal pain localized to the right lower quadrant, she refused to eat, and she had slight diarrhea. On the third day, she began to have more severe abdominal pain, increased vomiting, and fever that did not respond to acetaminophen. R.O. has returned to the ED. Her VS are 128/78, 130, 28, 39.5 C (103.1 F). R.O. is guarding her lower abdomen, prefers to lie on her side with her legs flexed, and is crying. IV access is established, and morphine sulfate 2 mg IV is administered for pain. An abdominal CT scan confirms a diagnosis of appendicitis. R.O.'s white blood count is 12,000 mm3. 1. Which of the following are common clinical manifestations of appendicitis? Select all that apply. a) Diarrhea b) Vomiting c) Left lower quadrant abdominal pain d) Constipation e) Arthralgia f) Diffuse rash g) Fever 2. Discuss why R.O.'s presenting clinical manifestations make diagnosis more difficult. Identify two other possible diagnoses. 2b. What are the early and late signs/symptoms of appendicitis and special clinical signs?
Expert Answer:
Answer rating: 100% (QA)
1 The common clinical manifestations of appendicitis include b Vomiting d Constipation g Fever These symptoms are often present in patients with appen... View the full answer
Related Book For
Posted Date:
Students also viewed these medical sciences questions
-
Read the article below and answer the questions posed, the compose response should be two to three pages in length. 1. What are 2 major planning failures pre-event at Memorial that led to it becoming...
-
THE SHOPPES AT RIVERSIDE Fonda L. Carter, Columbus State University Kirk Heriot, Columbus State University CASE DESCRIPTION This case asks the students to recommend a decision to a group of...
-
A decline in the aggregate demand has led to a decline in output in the economy equal to $10 billion. Government wants to counter this recession by reducing income taxes. Assuming that the marginal...
-
The Wind Tower Trade Coalition is an association of domestic manufacturers of utility scale wind towers. The coalition filed a suit in the U.S. Court of International Trade against the U.S....
-
1. Calculate the density of a rock that weights 4.56grams and has a volume of 2.88 cm 3. 2. A nail weighing 7.88 grams is placed in a graduated cylinder containing 22.35 mL of distilled water. When...
-
The fluid velocity along the \(x\) axis shown in Fig. P4.34 changes from \(6 \mathrm{~m} / \mathrm{s}\) at point \(A\) to \(18 \mathrm{~m} / \mathrm{s}\) at point \(B\). It is also known that the...
-
Now suppose that Sun Farms sells its operations to Happy Valley Farms. As a part of the sale, all three parties agree that Happy Valley will provide the basil as stated under the original contract....
-
Warnerwoods Company uses a perpetual inventory system. It entered into the following purchases and sales transactions for March. Date Mar. Activities 1 Beginning inventory Mar. 5 Purchase Mar. 9...
-
The 3-kg block A is released from rest in the 60 position shown and subsequently strikes the 1-kg cart B. If the coefficient of restitution for the collision is e = 0.7, determine the maximum...
-
The accountat of Habib Jewels Sdn Bhd, a company trading in gems and jewels, provided the following extract of the Balance Sheet as at 31 December 2018. Habib Jewels Sdn Bhd Balance Sheet as at 31...
-
3 . 3 . Create a functional component called "IncreaseDecreaseCount.js ' ' . " id="MathJax-Element-2-Frame" role="presentation" style="font-size: 121%; position: relative;" tabindex="0"> ' ' . ' ' ....
-
Determine the embodied energy for the wall material (Ignore the energy requirements for mortar and construction process). Clay brick is used for construction of a 10 m wall as shown in figure....
-
8) If you have a parent class Person that has a methodi learn() which returns: Studying. The details of child classes are given as: Dancer has a learn method that returns: Dancing. Singer has a learn...
-
If = 0i + 9j 8k, B = 7i + 5j + 1k, || = 10, and A - is perpendicular to both A and B, write the C in vector form = ( it j+ k)
-
Design a public class named StopWatch. The class contains: long data fields startTime and endTime. A no-argument constructor that initializes startTime and endTime with the current time. A method...
-
You are at an expensive restaurant with four friends. Before ordering, it is agreed that you will split the bill evenlyequal cost allocations. What are your incentives under this cost allocation...
-
Select the correct answer for each of the following questions. 1. On December 31, 20X3, Saxe Corporation was merged into Poe Corporation. In the business combination, Poe issued 200,000 shares of its...
-
On January 25, 2017, Douglas Ltd. purchased 1,000 common shares of BMO (Bank of Montreal) for $65 each. During the remainder of 2017, Douglas received $2.80/share in dividends and BMOs earnings per...
-
The date is February 26, 2018, and you are in the process of making adjusting entries for Bellevue Company for the year ended December 31, 2017. In your analysis of accounts receivable and bad debts,...
-
Schott Construction is the contractor for a building project for an educational institution. The project was scheduled to be completed over three years from 2012 to 2014. The contracted price was $80...
-
A manager has been using a certain technique to forecast demand for project man- agement software at her store. Actual demand and her corresponding predictions are shown below: a. What was the...
-
DRIVE WIND Driver's Donuts is a bakery and coffee shop that depends on morning com- muters for 80% of its daily business. During the morning rush from 5:30 a.m. to 8:30 a.m., an average of 35 cars...
-
Why aren't the effective capacity and the optimal operating level of any operation necessarily the same amount of activity?
Study smarter with the SolutionInn App