Advanced Health Assessment NUR 550 with complete solutions

ension Pain Caused by increased forcefulness of peristaltic contraction Tension pain diagnoses Bowel obstruction, gastroenteritis, food related 00:10 01:28 Inflammatory pain Caused by inflammation of the peritoneum Inflammatory pain symptoms Deep, intense pain worsening with movement or coughing Inflammatory pain diagnoses Appendicitis, cholecystitis, pancreatitis Tension pain symptoms Cramping in nature and changing position improves pain Ischemic pain Caused by increased in O2 demand and decreased O2 supply of the gut Ischemic pain symptoms Deep, intense, continuous pain worsening with activities that increase O2 demand to the gut (eating) Ischemic pain diagnoses Ischemic bowel, mesenteric artery ischemia/infarct Warning signs of a surgical abdomen Intractable pain followed by vomiting, acute, progressive pain over a period of hours, pain causing syncope or disturbing sleep, old surgical scars of the abdomen, well-localized pain Subjective findings of gallbladder disease Prior gallbladder disease, family history, history of recent fatty meal, acute illness, over 40 years of age, females over males, RUQ pain radiating to the shoulder, nausea, vomiting, fever Gallbladder disease objective findings + Murphy's sign, possible low grade fever, jaundice 00:00 Diagnostics for gallbladder disease RUQ US, HIDA scan, possible leukocytosis, liver enzymes, amylase and lipase Pancreatitis subjective findings Alcohol abuse (#1), biliary tract disease, hyperlipidemia, medication induced (diabetes), vascular disease, hyperparathyroidism with hypercalcemia, renal transplant patients, severe abdominal pain (RUQ/epigastric) with radiation to back, severe nausea and vomiting, subjective fever