The presence of blood can indicate an acute process or carcinoma Because

The presence of blood can indicate an acute process

This preview shows page 4 - 7 out of 7 pages.

The presence of blood can indicate an acute process or carcinoma. Because abdominal pain can be referred from other areas, the provider should also examine the lungs, heart, head and neck, and musculoskeletal system (Dains, et al, 2016). Is the Current Diagnosis Acceptable?
Image of page 4
5 The current diagnosis is unacceptable without further assessment and testing. While gastroenteritis can be diagnosed via subjective and objective assessment data only (Dains, Bauman, Scheibel, 2015), the advanced practice nurse must rule out any other possible diagnosis. Usually patients with gastroenteritis have a diffuse, cramps, abdominal pain accompanied by nausea, vomiting, diarrhea, and fever. The patient is afebrile with nausea and diarrhea, but has not informed the provider of any vomiting. According to Dains, et al, the patient with gastroenteritis will have hyperactive bowel sounds, which our patient does have. Gastroenteritis usually resolves without any treatment and requires no diagnostic testing. Conditions That May Be Considered as a Differential Diagnosis The patient could be experiencing a number of abdominal issues. The patient has complained of diffuse abdominal pain with nausea and has hyperactive bowel sounds. These vague symptoms can also point to ureterolithiasis, bowel obstruction, or irritable bowel syndrome (IBS). Each condition requires specific diagnostic testing in order to form an accurate diagnosis. 1) 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 is in the lower abdomen and flank and radiates to the groin. The patient with ureterolithiasis may also have nausea, vomiting, abdominal distention, chills, and fever (Dains, et al, 2016). Hematuria and urinary frequency can also be present. A urinalysis can be done to determine urine pH and the presence of crystals can help identify stone composition. A definitive diagnosis is made via noncontrast-enhanced helical computed tomography (CT) scan.
Image of page 5
6 2) Bowel obstruction occurs in newborns, the elderly, and those with recent GI surgery (Dains, et al, 2016). According to Mayo Clinic (2018),
Image of page 6
Image of page 7

You've reached the end of your free preview.

Want to read all 7 pages?

  • Summer '15
  • Bowel obstruction

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern

Stuck? We have tutors online 24/7 who can help you get unstuck.
A+ icon
Ask Expert Tutors You can ask You can ask You can ask (will expire )
Answers in as fast as 15 minutes