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1. Assessing The Abdomen Essay Example Paper
Assessing The Abdomen Essay Example PaperSubjective AnalysisThe essence of abdominal
pain should be described in terms of its occurrence, cause, discomfort, relieving, stressful
circumstances, and any prior abdominal problems. Abdominal pain in individuals with
gastroenteritis is mostly of accelerated development as it typically occurs as highly
infectious disease (Lacy et al., 2016). Because the client has made a complaint about
diarrhea, it is also important to mention its color, onset, whether it is watery, mucoid, or
bloody and the number of diarrhea incidents in a day. Gastroenteritis may be triggered by
contact with the virus, parasitic, or bacterial infection. Viral gastroenteritis mostly results in
watery diarrhea while bacterial gastroenteritis causes bloody diarrhea (Scallan et al . ,
2018). Hence, the stool's nature will serve to give a more accurate diagnosis and hence a
more effective management plan. Documentation of the relieving or stressful aspects of a
patient's diarrhea is also crucial Assessing The Abdomen Essay Example Paper.ORDER A
PLAGIARISM-FREE PAPER HEREThe patient's tolerance for both liquid and solid food items,
such as where she gets her foodstuff and preparation methods, should be clearly stated.
Gastroenteritis is believed to occur from the ingestion of contaminated food or water which
might also be prepared without implementing appropriate guidelines on sanitation (Kendall
& Moreira, 2017). The patient's recent travel history must also be established, as
gastroenteritis typically occurs when traveling after exposure to infectious agents.
Determining prior abdominal conditions, such as diverticulitis or cholecystitis, is essential.
The patient should be questioned for any other symptoms such as difficulty swallowing,
burning, vomiting, or bloating Assessing The Abdomen Essay Example Paper.Objective
AnalysisThe stool characteristic and inherent exposure to infectious diseases are important
objective data that must be included in the patient records. The patient may also have
recently experienced higher stress levels that have significantly impacted her health
condition. It should include the abdomen’s appearance on evaluation regarding its skin
color and contours symmetry. Palpation should also be noted whether or not there are
pulsations, pigmentation, striae, bruises, wounds, or lesions (Kendall & Moreira, 2017). In
addition, auscultation using the diaphragm of a stethoscope will be recorded as to whether
or not bowel sounds are apparent in terms of frequency and appearance, bowel sounds,
presence of bruits in the femoral, iliac, aortic, and areas. Bruits exhibit peritonitis,
gastroenteritis, or obstruction (Kendall & Moreira, 2017).In addition, the rhythm,
appearance, or total absence of pathological findings such as palpable masses, ascites,
observable distention, and enlarged organs need to be documented. The findings on

2. superficial and deep palpation, like rebound tenderness or areas of tenderness, are also
important to record. If a mass is felt, it is important to document its size, shape, location,
mobility, firmness, and pulsation Assessing The Abdomen Essay Example Paper.An
abdominal test should normally reveal a soft, symmetrical, and round abdomen without
visible peristalsis, lesions, scars, and distension. The aorta should also be midline without
any noticeable pulsations and bruits. The umbilicus should be midline and should be
inverted without herniation. Upon auscultation, bowel sounds should be observed in all 4
quadrants, and there should be no detectable liver, spleen, and kidney without tenderness
on palpation (Lacy et al., 2016).Is the Assessment Supported by S/O Information?Patient
analysis indicated he was suffering from gastroenteritis and lower quadrant pain. Diarrhea
symptoms and severe abdominal pain were recorded for 3 days, based on subjective
information. These are basically a few of the symptoms of gastroenteritis that typically
occur about 12-72 hours after getting exposed to an infectious agent. Objective information
shows that the patient had temperatures of 99.8 which indicated a low-grade fever. Fever
can develop in gastroenteritis patients, and symptoms of energy deficit and dehydration can
arise resulting in recurrent diarrhea and vomiting (Lausch et al., 2017)Assessing The
Abdomen Essay Example Paper.Appropriate Diagnostic Tests For this scenario, a
potential diagnostic test would be a stool examination, and the patient's medical
background. As per the patient's medical history documentation, conceivable symptoms
and signs of gastroenteritis would be connected to the current symptoms and signs of
gastroenteritis in order to enable a proper diagnosis (Bartsch, et al . , 2016).
Correspondingly, a stool examination may be used to determine whether the infection is
parasitic, viral, or harmful. If the stool is watery it would be bacterial gastroenteritis. If it is
bloody, the diagnosis would be very probable to be viral gastroenteritis (Lausch et al., 2017)
Assessing The Abdomen Essay Example Paper.Would I accept or reject the diagnosis in the
SOAP?Gastroenteritis, which is generally the irritation and inflammation of the
gastrointestinal tract, has actually been confirmed with the patient. Gastroenteritis is
correlated with symptoms including fever, abdominal pain, vomiting, diarrhea, and
dehydration that develops 12-72 hours following exposure to an infectious agent, and
persists for less than fourteen days (Lausch et al., 2017). Abdominal pain is often triggered
by frequent bouts of diarrhea and hence the hyperactive bowel sounds. These results are
consistent with the patient's objective and subjective data. For that reason, I would accept
the diagnosis currently being made Assessing The Abdomen Essay Example Paper.Possible
Differential DiagnosesThe three possible conditions that would be considered for
differential diagnosis would be inflammatory bowel disease, urinary tract infection, and
appendicitis.ReferencesBartsch, S. M., Lopman, B. A., Ozawa, S., Hall, A. J., & Lee, B. Y. (2016).
Global economic burden of norovirus gastroenteritis. PloS one, 11(4), e0151219.Kendall, J.
L., & Moreira, M. E. (2017). Evaluation of the adult with abdominal pain in the emergency
department. UpToDate.(level 5).Lacy, B. E., Mearin, F., Chang, L., Chey, W. D., Lembo, A. J.,
Simren, M., & Spiller, R. (2016). Bowel disorders. Gastroenterology, 150(6), 1393-
1407.Lausch, K. R., Westh, L., Kristensen, L. H., Lindberg, J., Tarp, B., & Larsen, C. S. (2017).
Rotavirus is frequent among adults hospitalized for acute gastroenteritis. Dan Med J, 64(1),
A5312.Scallan, E., Griffin, P. M., McLean, H. Q., & Mahon, B. E. (2018). Hospitalizations due to

3. bacterial gastroenteritis: A comparison of surveillance and hospital discharge
data. Epidemiology & Infection, 146(8), 954-960 Assessing The Abdomen Essay Example
Paper.A woman went to the emergency room for severe abdominal cramping. She was
diagnosed with diverticulitis; however, as a precaution, the doctor ordered a CT scan. The
CT scan revealed a growth on the pancreas, which turned out to be pancreatic cancer—the
real cause of the cramping. Because of a high potential for misdiagnosis, determining the
precise cause of abdominal pain can be time consuming and challenging. By analyzing case
studies of abnormal abdominal findings, nurses can prepare themselves to better diagnose
conditions in the abdomen. In this Lab Assignment, you will analyze an Episodic note case
study that describes abnormal findings in patients seen in a clinical setting. You will
consider what history should be collected from the patients as well as which physical exams
and diagnostic tests should be conducted. You will also formulate a differential diagnosis
with several possible conditions. To Prepare Review the Episodic note case study your
instructor provides you for this week’s Assignment. Please see the “Course Announcements”
section of the classroom for your Episodic note case study. With regard to the Episodic note
case study provided: Review this week’s Learning Resources, and consider the insights they
provide about the case study. Consider what history would be necessary to collect from the
patient in the case study. Consider what physical exams and diagnostic tests would be
appropriate to gather more information about the patient’s condition. How would the
results be used to make a diagnosis? Identify at least five possible conditions that may be
considered in a differential diagnosis for the patient. The Assignment Analyze the subjective
portion of the note. List additional information that should be included in the
documentation Assessing The Abdomen Essay Example Paper.ORDER A PLAGIARISM-FREE
PAPER HEREAnalyze the objective portion of the note. List additional information that
should be included in the documentation. Is the assessment supported by the subjective and
objective information? Why or why not? What diagnostic tests would be appropriate for this
case, and how would the results be used to make a diagnosis? 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. ABDOMINAL
ASSESSMENT Subjective: • CC: “My stomach hurts, I have diarrhea and nothing seems to
help.” • HPI: JR, 47 yo 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

4. for the assignments in this course (NURS 6512) but will be required for future courses
Assessing The Abdomen Essay Example Paper