NR 569 Week 2 Case Study; Differential Diagnosis of RUQ Abdominal Pain

lower extremities. abdomen is filled with gas. The abdomen becomes tight to touch and causes mild to intense pain. Deep vein thrombosis: heart disease causes abdominal pain when the heart is unable to pump blood to the stomach. The condition increases the person’s heart rate. It also causes a sharp abdominal pain and may cause nausea/vomiting after a meal. Cardiomyopathy: the condition leads to an increase in the heart rate. It causes abdominal pain when the heart muscles have a disease that leads to heart failure. The symptoms may include shortness of breath and nausea or abdominal pain. 3. Abdomen -Abdomen atraumatic, Ascending cholangitis: a mildly obese, non- person with ascending distended cholangitis complains of -No visible organomegaly abdominal pain in the right or herniation. upper quadrant. The pain -Tender to RUQ palpation: resembles that of gallstones. voluntary guarding The physical exam is present, no rebound. dependent on the person’s past health. Other tests such as CBC, CMP, and abdominal ultrasound are needed to confirm this diagnosis. Irritable bowel syndrome: IBS occurs when the abdomen is 5. Musculoskeletal Pain and discomfort when Pancreatitis: the disorder is the abdomen is touched. caused by the inflammation of The anterior and posterior the pancreas. Pancreatitis is movement of the tibia was mostly caused by gallstones or less than 1/2 inch from as the stones pass and get stuck mid- point of the joint in the bile duct. The condition Well defined movement causes pain when the abdomen end-point is touched. Fibromyalgia: the patient is likely to have abdominal pain due to a past cholecystectomy. Fibromyalgia causes a cramping pain with feelings of bloating and throwing up. Osteoporosis: a fracture in the pelvic bones may cause mild to severe pain when the abdomen is touched. People with osteoporosis are likely to have mild pelvic fractures. Differential Diagnosis Ascending cholangitis: a person with ascending cholangitis complains of abdominal pain in the right upper quadrant. Acute cholecystitis: persons with acute cholecystitis tend to have intermittent RUQ pain, abdominal pain that is worsened by eating, and a positive murphy’s sign. Bowel obstruction: Abdominal bloating affects the diaphragm and makes breathing difficult. The pressure in the abdomen may be enough to restrict the movement of the diaphragm, leading to asymmetrical chest expansion.