Nr 511 Differential Diagnosis & Primary Care Practicum Midterm Study Guide

lOMoARcPSD|28205643 NR 511 Differential Diagnosis & Primary Care Practicum Midterm study guide N/B: Expand the boxes for a wide viewDiseaseRiskSubjective FindingObjective FindingsDiagnosticsTre at m entEducationGI DISAppendicitis-Most common between-Dx made clinically,-May have HTNachy-Labs are not-Surgical; preoperative-F\U with surgeon10-30yrs; but can occurbased primarily on H&Pproportional todiagnostic andcare, NPO, correction of-Ambulation afterat any age; rare inexampain\symptomsnonspecificfluid\electrolyte imbalancessurgeryinfants and older adults- Classic presentation-When lying flat, may-Women should have-Avoid narcotics-Adv diet when-men more at riskincludes acute onset offlex R knee to relieveurine human chorionic-Atb with 3rd genbowel sounds - Diets low in fiber, highmild to severe colicky,tension in abd musclegonadotrophin to r\ocephalosporin; Ex:-Return to hosp within fat, refined sugars, & other carbs at epigastric, or periumbilical pain-Pain with palpation in abd, diffuse in ectopic pregnancy - +Rovsings ampicillin, gentamycin, flagyls\s of infection -Avoid risk.- Pain is vague at firststages. Localized todeep palpation &for at least 2 wks- Obstruction of appendixthen localizes withinRLQ laterrelease in LLQ causesis cause of majority of24hrs to RLQ-Positive for reboundrebound pain in RLQappendicitis- Pain exacerbated pain; ask pt to cough- +Psoas Sign- lift R- contributing factors:walking\coughingto localize painleg against gentleIntra-abdominal- Men may feel radiatedlocationpressure causes paintumors, positive familypain in testes-Sudden cessation of- +Obturator Sign-hx- Abd muscle rigidity,pain means perforationflex R hip