Disciplines
- MLA
- APA
- Master's
- Undergraduate
- High School
- PhD
- Harvard
- Biology
- Art
- Drama
- Movies
- Theatre
- Painting
- Music
- Architecture
- Dance
- Design
- History
- American History
- Asian History
- Literature
- Antique Literature
- American Literature
- Asian Literature
- Classic English Literature
- World Literature
- Creative Writing
- English
- Linguistics
- Law
- Criminal Justice
- Legal Issues
- Ethics
- Philosophy
- Religion
- Theology
- Anthropology
- Archaeology
- Economics
- Tourism
- Political Science
- World Affairs
- Psychology
- Sociology
- African-American Studies
- East European Studies
- Latin-American Studies
- Native-American Studies
- West European Studies
- Family and Consumer Science
- Social Issues
- Women and Gender Studies
- Social Work
- Natural Sciences
- Anatomy
- Zoology
- Ecology
- Chemistry
- Pharmacology
- Earth science
- Geography
- Geology
- Astronomy
- Physics
- Agriculture
- Agricultural Studies
- Computer Science
- Internet
- IT Management
- Web Design
- Mathematics
- Business
- Accounting
- Finance
- Investments
- Logistics
- Trade
- Management
- Marketing
- Engineering and Technology
- Engineering
- Technology
- Aeronautics
- Aviation
- Medicine and Health
- Alternative Medicine
- Healthcare
- Nursing
- Nutrition
- Communications and Media
- Advertising
- Communication Strategies
- Journalism
- Public Relations
- Education
- Educational Theories
- Pedagogy
- Teacher's Career
- Statistics
- Chicago/Turabian
- Nature
- Company Analysis
- Sport
- Paintings
- E-commerce
- Holocaust
- Education Theories
- Fashion
- Shakespeare
- Canadian Studies
- Science
- Food Safety
- Relation of Global Warming and Extreme Weather Condition
Paper Types
- Movie Review
- Essay
- Admission Essay
- Annotated Bibliography
- Application Essay
- Article Critique
- Article Review
- Article Writing
- Assessment
- Book Review
- Business Plan
- Business Proposal
- Capstone Project
- Case Study
- Coursework
- Cover Letter
- Creative Essay
- Dissertation
- Dissertation - Abstract
- Dissertation - Conclusion
- Dissertation - Discussion
- Dissertation - Hypothesis
- Dissertation - Introduction
- Dissertation - Literature
- Dissertation - Methodology
- Dissertation - Results
- GCSE Coursework
- Grant Proposal
- Admission Essay
- Annotated Bibliography
- Application Essay
- Article
- Article Critique
- Article Review
- Article Writing
- Assessment
- Book Review
- Business Plan
- Business Proposal
- Capstone Project
- Case Study
- Coursework
- Cover Letter
- Creative Essay
- Dissertation
- Dissertation - Abstract
- Dissertation - Conclusion
- Dissertation - Discussion
- Dissertation - Hypothesis
- Dissertation - Introduction
- Dissertation - Literature
- Dissertation - Methodology
- Dissertation - Results
- Essay
- GCSE Coursework
- Grant Proposal
- Interview
- Lab Report
- Literature Review
- Marketing Plan
- Math Problem
- Movie Analysis
- Movie Review
- Multiple Choice Quiz
- Online Quiz
- Outline
- Personal Statement
- Poem
- Power Point Presentation
- Power Point Presentation With Speaker Notes
- Questionnaire
- Quiz
- Reaction Paper
- Research Paper
- Research Proposal
- Resume
- Speech
- Statistics problem
- SWOT analysis
- Term Paper
- Thesis Paper
- Accounting
- Advertising
- Aeronautics
- African-American Studies
- Agricultural Studies
- Agriculture
- Alternative Medicine
- American History
- American Literature
- Anatomy
- Anthropology
- Antique Literature
- APA
- Archaeology
- Architecture
- Art
- Asian History
- Asian Literature
- Astronomy
- Aviation
- Biology
- Business
- Canadian Studies
- Chemistry
- Chicago/Turabian
- Classic English Literature
- Communication Strategies
- Communications and Media
- Company Analysis
- Computer Science
- Creative Writing
- Criminal Justice
- Dance
- Design
- Drama
- E-commerce
- Earth science
- East European Studies
- Ecology
- Economics
- Education
- Education Theories
- Educational Theories
- Engineering
- Engineering and Technology
- English
- Ethics
- Family and Consumer Science
- Fashion
- Finance
- Food Safety
- Geography
- Geology
- Harvard
- Healthcare
- High School
- History
- Holocaust
- Internet
- Investments
- IT Management
- Journalism
- Latin-American Studies
- Law
- Legal Issues
- Linguistics
- Literature
- Logistics
- Management
- Marketing
- Master's
- Mathematics
- Medicine and Health
- MLA
- Movies
- Music
- Native-American Studies
- Natural Sciences
- Nature
- Nursing
- Nutrition
- Painting
- Paintings
- Pedagogy
- Pharmacology
- PhD
- Philosophy
- Physics
- Political Science
- Psychology
- Public Relations
- Relation of Global Warming and Extreme Weather Condition
- Religion
- Science
- Shakespeare
- Social Issues
- Social Work
- Sociology
- Sport
- Statistics
- Teacher's Career
- Technology
- Theatre
- Theology
- Tourism
- Trade
- Undergraduate
- Web Design
- West European Studies
- Women and Gender Studies
- World Affairs
- World Literature
- Zoology
Assessment and Differential Diagnostic Testing, Essay Example
Hire a Writer for Custom Essay
Use 10% Off Discount: "custom10" in 1 Click 👇
You are free to use it as an inspiration or a source for your own work.
Outline
Introduction
- Appendicitis workup/ assessment
- Differential diagnosis
Tests to be conducted
- Ectopic Pregnancy
- Intestinal Obstruction
- Urinary Tract Infection
- Pancreatitis
Conclusion
Introduction
Mrs. Jones 46, year old female presents at the emergency with lower left quadrant pain. Upon physical examination no abnormalities were detected in any organ system. However, a provisional diagnosis of appendicitis was made. A number of assessment procedures along with diagnostic testing must be conducted to confirm the diagnosis even with the history outlined. Assessment includes a full physical examination of the gastro intestinal system.
Appendicitis workup/ assessment
Inspection: – The abdomen is normal, but patient is anxious experiencing excruciating pain in the left quadrant region.
Palpation: – There is rebound tenderness in this left quadrant region.
Percussion: – Pain, guarding and rigidity.
Stomach: – No tenderness but patient tends to wretch on palpation
Oral cavity: – Pink and moist- no abnormalities
Intestines: No looseness of bowels
Pelvic and lower extremities: – The obturator sign is present with internal rotation of the thigh pain occurs in cases of pelvic appendicitis. Alternatively, the psoas sign is present when the extension of the right thigh creates pain in retroperitoneal or retrocecal appendicitis (Craig & Brenner, 2013).
Laboratory tests: – These may not show significant signs of the condition. However, a CBC could show elevated white blood cell count.
Studies have shown where while pain radiating towards McBurney’s point has been a reliable diagnosis it is not altogether true. One hundred patients were evaluated undergoing 3-dimensional (3-D) multidetector computed tomography (MDCT) scanning. It was discovered that in only 4% of patients the base of the appendix was located at the McBurney point; in 36%, it was within 3 cm of the point; 28%, 3-5 cm and, in 36% of patients, it was more than 5 cm from the McBurney point (Craig & Brenner, 2013).
Differential diagnosis
The differential diagnoses identified are:-
- Ectopic Pregnancy
- Intestinal Obstruction
- Urinary Tract Infection
- Pancreatitis
Tests to be conducted
Ectopic Pregnancy: – Transvaginal ultrasound detects pregnancy. A Serum beta positive test showing human chorionic gonadotropin level of 1,500 mIU per L (1,500 IU per mL) or higher indicates ectopic pregnancy, which rules out appendicitis.
Intestinal Obstruction: – Bloating and tenderness would be present upon abdominal palpation.
Also, herniation could be visible upon inspection. Diagnostic tests include CT scan; abdominal
X-Ray; barium enema and abdominal series of X-rays to examine stomach; esophagus and small
intestines. Changes in the size of these organs indicate abdominal obstruction. In appendicitis
there are no abnormalities.
Urinary Tract Infection: – Inspection of the urinary tract gives an inflamed appearance and exudate may be present. Upon palpation there is tenderness in the lower pelvis and pain or discomfort upon urination. A urinalysis usually reveals cloudiness and odor not consistent with normal urine. Urine culture is followed whereby bacteria are isolated and sensitivity identified. These are the specific tests, which rule out appendicitis.
Pancreatitis: – Palpation reveals a swollen tender abdomen accompanied by nausea and
vomiting. Diagnostic tests include pancreatic function tests; glucose tolerance tests; ultrasound;
CT scan; endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound
(EUS) and biopsy. These test are not conducted when appendicitis is diagnosed, but they provide
solid guidelines for ruling out pancreatitis.
Conclusion
The foregoing tests provided validated the presence of appendicitis while ruling out ectopic pregnancy, which affects the reproductive system; intestinal obstruction even though a gastrointestinal dysfunction presents with abdominal herniation. Urinary tract infection bacteria shows up in the urine, a significant difference in appendicitis and in pancreatitis there is associating weight loss as well as elevated glucose levels (Primrose, 2001).
References
Craig, S., & Brenner, B (2013). Appendicitis Clinical Presentation. Medscape. Retrieved on March 6th, 2013 from http://emedicine.medscape.com/article/773895-clinical
Primrose, A. (2001). The Differential Diagnosis of Appendicitis. Can Med Assoc J, 11(1): 23–26
Stuck with your Essay?
Get in touch with one of our experts for instant help!
Time is precious
don’t waste it!
writing help!
Plagiarism-free
guarantee
Privacy
guarantee
Secure
checkout
Money back
guarantee