your patient is a 44 year old obese whit female who is complaining of periumbilical pain that is progressively getting worse. She states that she has no appitite. Her temperature is 100.1. She has a positive psoas and obturator sign. what is your diagnosis - answerappendicitis your patient is a 44 year old obese white female who is complaining of right upper quad pain after eating. She reports that the pain often radiates to the left shoulder and is accompained by nausea and vomiting. what is your probable diagnosis - answeracute cholecystitis what are the risk factors for acute diverticulitis - answerincreased age constipation low dietary fiber intake, obesity lack of exercise frequent nonsteroidal anti inflammatory drugs what are the signs and symptoms of acute diverticulitis - answerrebound tenderness positive rovsings sign board like abdomen leukocytosis with neutrophilia and a left shift Betty a 62 year old female complains of a nausea, vomiting, and abdominal pain that radiates to the mid back. Upon assessment she has a fever of 101.6 which she states started today, she has significant gaurding when the epigastric region of the abdomen is palpated. Additionally, She is very worried about bruising that appeared around her umbilicus. What is your probable diagnosis? - answeracute pancrititis this inflammatory bowel disease is the only one that fistual formation and anal disease may occur in - answerchron's disease patients with this disorder have severe squeezing or cramping pain locted on the left side of the abdomen with bloating and gas. Symptoms may increase after eating. Patient may be febrile and have fatigue and weight loss. Bloody stools are common. what is a probable diagnosis - answerulcerative colitis this inflammatory bowel disease is frequently accompanied by arthalgias and arthritis of the large joints, sacrum and ankylosing spondylitis. Patients may also be anemic and are at risk for toxic megacolon - answerulcerative colitis this disorder causes the pancrease or stomach to secrete excessive gastrin resulting in ulcers in the stomach and duodenum. what is this disorder and what tests would you order to confirm - answerZollinger-Ellison Syndrome- fasting serum gastrin levels these organs maybe responsible for right upper quadrant pain - answerliver, gallbladder, ascending colon, kidney, pancrease (small portion). these organs maybe responsible for left upper quadrant pain - answerstomach, pancreas, descending colon, kidney these organs maybe responsible for right lower quadrant pain - answerappendix, ileum, cecum, overy these organs maybe responsible for left lower quadrant pain - answersigmoid colon, overy these organs maybe responsible suprapubic pain - answerbladder, uterus, rectum deep palpation of the left lower quadrant of the abdomen resuls in reffered pain to the RLQ. what is this menuver called - answerRovsing sign flex hip 90 degrees, ask the patietn to push against resistance and to striaghten leg. A positive finding would be if right lower quad ado pain occurs. what is this test called - answerpsoas or iliopsoas sign inward rotation of the hip causes RLQ pain. Rotate righ hip through full range of motion. Positve sign is pain with the movement or flexion of the hip. - answerobturator sign are located between the superior iliac crest and umbbilicus in the RLQ. Pain at this sight may indicated what? - answerMcBurneys point, appendicitis pressing deeply on the RUQ under the costal border during inspiration cause midinspitory arrest - answerMurphys meneuver what are some worrisome for a 52 year old male with a history of long term gerd - answerprogressive dysphagia, iron dificiency anemia, weight loss, hemoccult positive stools. what lifestyle factors can you teach to a patient with GERD to reduce occurance? - answerdecrease coffee, caffeine, no mints, stop smoking, avoid NSAIDS and ASA. what is cullen sign - answerbruising around the umbilicus that idicated bleeding related to pancreatitis what is grey turner sign? - answerbruising in the flanks that may indicate bleeding related to pancreatitis. what is the treatment for irritable bowel disease - answerincrease dietary fiber- supplement with metamucil or methylcellulose (citrucel) or benefiber. avoid gas producing foods such as beans, onions, cabbage and high fuctose corn syrup. Decrease life stress rule out ameebic parasitic or bacterial infections. check stool for ova and parasites. culture stool. duodenal ulcers are more common in this disease - answerPeptic ulcer disease (PUD)