Case Study: Advanced Clinical
Assessment and Evidence-Based
Management of Abdominal Pain in a
48-Year-Old Female for First Attempt
Success
, Based on the search results, I can provide a comprehensive analysis of the **NRNP 6560 Week 9 i-
Human Case Study** featuring a **48-year-old female with abdominal pain** for the 2025/2026
academic year .
**⚠️ Important Note:** The search results reveal **two distinct clinical variants** for this case study.
The correct diagnosis and management plan depend entirely on the **location of the pain** in your
specific assignment .
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## 🚨 CRITICAL: Two Different Case Versions
### Version 1: Acute Appendicitis (RLQ Pain)
| Feature | Finding |
| :--- | :--- |
| **Chief Complaint** | "Abdominal pain for 3 days" |
| **Pain Location** | Initially diffuse → localized to **Right Lower Quadrant (RLQ)** |
| **Pain Character** | Sharp, constant, progressively worsening, 7/10 |
| **Aggravating Factors** | Movement, palpation |
| **Associated Symptoms** | Nausea, anorexia, subjective fever |
| **Key Negatives** | No vomiting, no urinary symptoms, no diarrhea |
| **Vital Signs** | Temp 100.8-101.2°F (fever); HR 102-104 bpm (tachycardia) |
| **Physical Exam** | RLQ tenderness, rebound tenderness, guarding, positive McBurney's point |
| **Primary Diagnosis** | **Acute Appendicitis** |
### Version 2: Acute Diverticulitis (LLQ Pain)