pain fibers of the abdominal wall, manifesting the the symptoms of localized pain and create the symptoms of tenderness, rigidity, and rebound tenderness (Ball et al, 2015). The provider to make thorough assessment and recommendations for care must examine the patient’s groin area to rule out any possibilities for incarcerated hernia or testicular torsion (Dains, et al, 2016). The provider should also percuss for tenderness in the flanks. Flank pain can indicate a kidney stone (Ball, et al, 2015). Is the Current Diagnosis Acceptable? The current diagnosis is acceptable as a working diagnosis after completing the above thorough assessment. Gastroenteritis is typically diagnosed using subjective and objective assessment findings (Dains, et al, 2015). Patients that present with the symptoms of will report diffuse, crampy abdominal pain accompanied by nausea, vomiting, diarrhea (Dains, et al, 2015). J.R presents with a low-grade fever, nausea and diarrhea, though he does not report vomiting.
NURS 6512 Week 6 Assignment 5 Differential Diagnosis Ureterolithiasis occurs when kidney stones form in the ureters. The patient reports the sudden onset of excruciating intermittent colicky pain that can progress to a constant pain (Dains, et al , 2016). The pain assessed is described as lower abdomen and flank and radiates to the groin. The patient presenting with ureterolithiasis may also have nausea, vomiting, abdominal distention, chills, and fever (Dains, et al , 2016). Hematuria and urinary frequency can also be present with the diagnosis of ureterolithiasis . A urinalysis ordered to determine pH and the presence of crystals which is indicative of stone composition (Dains, et al, 2016). Bowel obstruction occurs in newborns, the elderly, and those with recent GI surgery (Dains, et al , 2016). Some notable causes of intestinal obstructions include but are not limited to adhesions in the abdomen that form after surgery, inflammation of the intestine (Crohn's disease), diverticulitis, hernias, and colon cancer (Mayo Clinic, 2018). Vomiting most typically occurs early with small intestinal obstructions and noted in diagnosis of late with large bowel obstruction. Obstipation occurs with a complete obstruction, but diarrhea can be present with a partial obstruction (Dains , et al, 2016). Hyperactive, high-pitched bowel sounds can be auscultated when a patient is diagnosed with a small bowel obstruction. An abdominal mass may be palpable in a lower obstruction and abdominal distention will be noted as a finding with an abdominal obstruction (Ball, et al, 2015). Definitive diagnoses of an obstruction is definitively diagnosed following radiology studies such as x-rays, CT scan, or MRI (Ball, et al, 2015). . Irritable bowel syndrome (IBS) , characterized by abdominal cramping, abdominal pain, bloating, constipation, and diarrhea (Mayo Clinic, 2018). Patients that present with IBS may have a normal bowel examination to include stool samples that are negative for blood involvement. The typical age of diagnosis of IBS is noted most prevalent in middle age and
- Summer '15