Abdomen NORMAL AND ABNORMAL PHYSICAL EXAM FINDINGS

Review the case study noted below:

Answer the questions for each case.

Case 1: Male with Abdominal Pain

The patient is a 32-year-old male with no significant past medical history presents to the emergency department with abdominal pain. He states the pain began a few days ago in the right lower quadrant of the abdomen, and now feels as though it is spreading to the mid-abdomen. He describes the pain as coming on suddenly and sharp in nature.   Since onset, his pain started to improve until the morning of presentation to the emergency department when it acutely worsened.  He says that the pain is much worse with movement. Abdomen NORMAL AND ABNORMAL PHYSICAL EXAM FINDINGS

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The patient is concerned for a possible hernia as he does heavy lifting at work. Review of systems is negative including no anorexia, no nausea or vomiting, no testicular pain or swelling, no urinary or bowel complaints, and no fevers or chills. The patient denies prior abdominal surgeries. He does smoke a half pack of cigarettes a day, drinks alcohol socially, and denies any recreational drug use. He notes no inherited medical conditions in his family.

How will you conduct a focused assessment of this patient?  What systems would you examine during this focused assessment? Do not forget that your exam has to be done in a systematic way. Think Inspection, Palpation, Percussion, and Auscultation  (if indicated) when submitting

What initial tests need to be conducted and why?

Abdomen NORMAL AND ABNORMAL PHYSICAL EXAM FINDINGS