Reference no: EM133692824

CASE STUDY

Introduction recap:

Abdominopelvic quadrants and regions are conceptual boundaries that serve a practical purpose by demarcating sections of the abdominopelvic cavity. They enable medical professionals to discern the whereabouts of bodily organs and structures readily. Proficiency in conducting physical examinations is critical for ensuring the efficient management of clients. Four abdominopelvic quadrants.

Let's review the four abdominal quadrants:
• Right upper quadrant (RUQ): Liver and gallbladder pain presents as RUQ pain.
• Left upper quadrant (LUQ)
• Right lower quadrant (RLQ)
• Left lower quadrant (LLQ)
We also divide the abdomen into 9 regions. They are as follows:
• Left hypochondriac region
• Epigastric region
• Right hypochondriac region
• Left lumbar region
• Umbilical region
• Right lumbar region
• Left inguinal region
• Hypogastric region
• Right inguinal region

As a healthcare provider, you will use palpation (feeling with your hands) to gain more information from clients who present with abdominopelvic pain. Because of this, it is important to not only know the names of each of the quadrants and regions, but also be familiar with what organs you would find in each section. In this assignment, you will use the below listed scenario to answer the questions presented at the end. Please note that all answers can be found in this document or in Edapt.
 
Scenario/Summary

The following clinical case will illustrate how basic core concepts learned during BIO251 are applied in the clinical setting.

A 22-year-old male presents to the emergency room complaining of abdominal pain, anorexia (loss of appetite), nausea, and fever. As you inquire further about the abdominal pain, the client/patient tells you that the pain started in the umbilical region six hours ago and it is now localized in the right lower quadrant of the abdomen.

After taking the patient's past medical history, you proceed to perform a physical examination. The findings of your physical exam show:

• Temperature of 102.3 F (39.056°C)
• Pain on palpation at the right lower quadrant

Due to the location of the appendix in the abdominal cavity, a diagnosis of appendicitis is suspected so the patient is sent to radiology to have a contrast CT performed to confirm this diagnosis.

Deliverables
Please address the following questions in complete sentences.

1. Using your knowledge of abdominal quadrants and regions, in which abdominal quadrant/region is the organ implicated located?

2. What is the most likely working diagnosis?

3. Using your own words, why is it important for a healthcare provider to know what organs are found in each abdominopelvic quadrant/region.

4. Explain why the pain migrated from the mid-abdomen to the right lower quadrant.

5. What clinical manifestations should a nurse expect to see in patients suffering from acute appendicitis? (Select all answers that apply). Make use of the clinical case to assist you in answering this question.