| Symptoms
& History
Physical
Findings
Stop
& Think
Lab
and X-Ray
Differential
Diagnosis
The
Disease
Treatment
Conclusions
Quiz
& Evaluation |
|
Physical
exam reveals a well nourished adult male in moderate distress owing to
continued abdominal pain and nausea.
-
Blood pressure supine = 128/88
mmHg
-
Blood pressure standing = 100/68
mmHg
-
Pulse = 106 and regular, respirations
= 14 per min.
-
Temperature = 98.6 F
-
Abdominal exam reveals mild
tenderness in right upper quadrant, good bowel sounds and no masses.
-
Lungs are clear and heart sounds
are normal
-
No adenopathy and peripheral
pulses are good.
-
Mucous membranes and nail beds
are pale.
-
Eye grounds are unremarkable
and pupils are equally reactive to light and accommodation (PERLA)
-
No masses noted on rectal exam,
small amount of black stool is present.
-
The stool test positive for
occult blood.
Laboratory
data?
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