HA W8 R1 Acute and Chronic Abdominal Pain in Adults

HA W8 R1 Acute and Chronic Abdominal Pain in Adults

Title       HA W8 R1

Prefered Language style               English (U.S.)

Type of document           Essay

Number of pages/words              1 Page Double Spaced (approx 275 words per page)

Subject area         Nursing

Academic Level Master

Style      APA

Number of sources/references 2

Order description:

Abdominal pain, both acute and chronic, can be the symptom of the wide range of conditions. A nursing professional will need to work hard to interrogate a patient with this symptom, assess the received information, perform the physical examination, and order the lab tests based on the preliminary results (Buttaro, Trybulski, Bailey, & Sandberg, 2016).Clinicians must contemplate multiple diagnoses, especially those life-threatening situations that require timely intervention to limit morbidity and mortality. It is important to complete a history as possible as this is the cornerstone of an accurate diagnosis. The history should include a complete description of the patient’s pain and associated symptoms. Medical, surgical, and social history should also be sought as this may provide important information.

Acute Abdominal Pain in Adults

Assessment of an adult patient in the ER includes respiratory rate and pattern, look for evidence of anemia and jaundice, look for visible peristalsis of abdominal distention, or dehydration. In all four quadrants, it is necessary to auscultate the bowel sounds and look for bruits (Buttaro et al., 2016). Common diagnostic tools for abdomen include abdominal radiography, US, CT, and MRI.

Acute Abdominal Pain in Children

Most abdominal pain in children is functional. When assessing the pediatric patient, the provider should focus on any clues such as weight loss, recurrent vomiting, skin rash, mouth sores, night pain, family history, and dysphagia. Initial laboratory studies may include a CBC and urinalysis (Buttaro et al., 2016). Plain film abdominal radiographs are most useful when intestinal obstruction or perforation is a concern. US and CT are useful in diagnostic of abdomen pathologies.

Acute Abdominal Pain in Pregnant

Similar to working with other categories of patients with abdominal pain, a detailed history regarding the time of onset, duration, intensity, and character of the pain, as well as any associated symptoms should be obtained from a pregnant woman (Buttaro et al., 2016). With pregnant patients, determining the source of abdominal and pelvic pain is necessary. With diagnostics for women who are pregnant, MRI is considered since it does not use radiation which creates a large advantage in the safety of the patient and fetus (Norman, Murray, Shetty, Bendall, & Dalton, 2017).

References

Buttaro, T. M., Trybulski, J. A., Bailey, P. B., & Sandberg, J. (2016). Primary Care. New York, N. Y.: Elsevier.

Norman, S. D., Murray, I. A., Shetty, D., Bendall, R. P., & Dalton, H. R. (2017). Jaundice, abdominal pain, and fever in a young woman. The Lancet, 390(10103), 1713-1714.

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