Nurs 6512 head to toe assessment

Advanced Health Assessment

ABDOMINAL ASSESSMENT

Subjective:

· CC: “My stomach hurts, I have diarrhea and nothing seems to help.”

· HPI: JR, 47 y/o WM, complains of having generalized abdominal pain that started 3 days ago. He has not taken any medications because he did not know what to take. He states the pain is a 5/10 today but has been as much as 9/10 when it first started. He has been able to eat, with some nausea afterwards.

· PMH: HTN, Diabetes, hx of GI bleed 4 years ago

· Medications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10 units qhs

· Allergies: NKDA

· FH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN, Hyperlipidemia, GERD

· Social: Denies tobacco use; occasional ETOH, married, 3 children (1 girl, 2 boys)

Objective:

· VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbs

· Heart: RRR, no murmurs

· Lungs: CTA, chest wall symmetrical

· Skin: Intact without lesions, no urticaria

· Abd: soft, hyperactive bowel sounds, pos pain in the LLQ

· Diagnostics: None

Assessment:

· Left lower quadrant pain

· Gastroenteritis

PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

Assignment:

1. Analyze the subjective portion of the note. List additional information that should be included in the documentation.

2. Analyze the objective portion of the note. List additional information that should be included in the documentation.

3. Is the assessment supported by the subjective and objective information? Why or why not?

4. What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?

5. Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

TIPS:

- Remember to use current literature and to justify your answer with the appropriate references after giving credit to the author in your own statements

-Remember what’s Subjective and what’s Objective. This should be all clear for everyone by now

Resource to USE from the BOOK

Abdominal pain

https://class.content.laureate.net/192d9f054fd0dbf89ddcd15dc023d33f.pdf

Constipation

https://class.content.laureate.net/7abbf888c2129a30d6932af5af7ca474.pdf

Diarrhea

https://class.content.laureate.net/e3ae95651bd43bda6862bf887581b967.pdf

Rectal pain, itching, and bleeding

https://class.content.laureate.net/b8cde2ca07a1334b6d2b1f0aa8bcd3e1.pdf

X-Ray interpretation Abdominal

https://class.content.laureate.net/5871e1a0cf9ae538fe831dff71b1a8a1.pdf