A 61 year old man has a presenting complaint of frequent constipation He tells

A 61 year old man has a presenting complaint of

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27.A 61-year-old man has a presenting complaint of frequent constipation. He tells the examinerthat there has been a change in his bowel movement habits—he gets constipated easily, the stool is very "skinny looking," and it is a different color than usual. He denies pain. Which disorder do these symptoms suggest?A.DiverticulitisB.Hepatitis BC.Colon or rectal cancer CorrectSymptoms of colorectal cancer depend on cancer location, size, and presence of metastases. Common symptoms include abdominal pain, blood in the stool, or a recent change in the frequency or character of stools.D.Pancreatitis.
28.You hear loud bowel sounds while standing next to the patient. You would document this as:
29.When assessing bowel sounds, how long should you auscultate before determining the bowl sounds are absent?
30.When percussing the abdomen, which is the predominant sound you expect?
Chapter 18 AbdomenFirst percuss all quadrants or regions of the abdomen for a sense of overall tympany and dullness. Tympany is the predominant sound because air is present in the stomach and intestines.D.Dullness31.A technique known as _________________________ is used to determine if an abdominal mass is freely moveable.A.BallanceB.striaeC.ballottement CorrectBallottement is a palpation technique used to assess an organ or a mass. To perform abdominal ballottement with one hand, place your extended fingers, hand, and forearm at a 90-degree angle to the abdomen. If the object is freely movable, it will float upward to touch the fingertips.D.Cullen sign
32.Mr. Graham is a 56-year-old patient who presents to your office with a complaint of knifelike pain and epigastric tenderness. Knifelike pain may indicate:
33.Abdominal pain that has a colic quality may indicate:
34.Abdominal bruits may indicate:
Chapter 18 Abdomen
35.Burning pain in the abdomen may indicate:A.pancreatitis.B.aortic aneurysm.C.ulcer. CorrectAn ulcer is a chronic circumscribed break in the duodenal mucosa that scars with healing. Burning pain is a subjective symptom of localized epigastric pain that occurs when the stomach is empty and is relieved by food or antacids.D.renal stone.

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