By John H. Wasson, B. Timothy Walsh, Harold Sox, Robert Pantell, John W. Wasson
This consultant offers an inventory of pertinent questions, actual findings, and differential diagnoses for over a hundred normally noticeable signs in adults and kids. It additionally offers insightful instructions on sufferer and relations heritage, actual exam, diagnostic issues and medicinal drugs.
Read or Download Common Symptom Guide: A Guide to the Evaluation of Common Adult and Pediatric Symptoms (4th Edition) PDF
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Extra resources for Common Symptom Guide: A Guide to the Evaluation of Common Adult and Pediatric Symptoms (4th Edition)
Nonspecific abdominal ache. Nonspecific abdominal ache. Worms or ova may be noted in the stool; pain is frequently diffuse and not severe; weight loss, anemia, and diarrhea may occur. Pain often located in the flanks; hematuria or dysuria is sometimes present. A problem seen after the second week of life and resolved by four months. Often occurs in early evenings. Normal. Normal. Stool often positive for reducing substances or low pH. Stool often palpable on rectal or abdominal examination. Stool often positive for occult blood.
Qxd 8/29/01 8:41 AM Page 43 Abdominal Pain (Adult) 43 DIAGNOSTIC CONSIDERATIONS HISTORY PHYSICAL EXAM Acute Abdominal Pain (continued)M progresses to right lower quadrant. Onset gradual, progressing over hours. Hepatitis Diverticulitis Cholecystitis Pancreatitis Malaise, myalgia, nausea, and right upper quadrant pain. Pain in lower left quadrant; constipation; nausea, often vomiting; course lasts several days. 25% of patients may have minor rectal bleeding. Colicky pain in epigastrium or right upper quadrant, occasionally radiating to right scapula; colicky with nausea, vomiting, fever; sometimes chills, jaundice, dark urine, light-colored stools (obstruction of common duct); may be recurrent.
Note the location of the pain. Obturator test: flex and externally rotate the leg at the hip. Does this procedure cause pain. SPECIAL: GENERAL CONSIDERATIONS In many patients, the cause of abdominal pain is unproven. qxd 8/29/01 8:41 AM Page 42 42 Abdominal Pain (Adult) irritable bowel and dyspeptic syndromes account for the majority of chronic/recurrent abdominal pains in ambulatory patients. DIAGNOSTIC CONSIDERATIONS HISTORY PHYSICAL EXAM Acute Abdominal Pain, Life-ThreateningM Peritonitis Pain severe and generalized; prostration; fever/chills; movement worsens pain.
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