either by laparotomy or laparoscopy. Untreated‚ mortality is high‚ mainly because of peritonitis and shock.[1] Reginald Fitz first described acute appendicitis in 1886‚[2] and it has been recognized as one of the most common causes of severe acute abdominal pain worldwide. Location of the appendix in the digestive system On the basis of experimental evidence‚ acute appendicitis seems to be the end result of a primary obstruction of the appendix lumen.[3][4] Once this obstruction occurs the appendix
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auscultated. No murmurs or additional sounds present. Respiratory Examination: No scarring or chest deformities observed. Trachea was central on palpation. Normal resonance was present on percussion. Good air entry bilaterally on auscultation. Abdominal Examination: No scarring‚ bruising or distention observed. The abdomen was soft and non-tender on palpation and no organomegally was present. Normal bowel sounds were present on auscultation. Central Nervous System Examination: Normal cognition was
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kulasekar Definition Cholecystitis is inflammation of the gallbladder‚ usually resulting from a gallstone blocking the cystic duct. • Gallbladder inflammation usually results from a gallstone blocking the flow of bile. • Typically‚ people have abdominal pain that lasts more than 6 hours‚ fever‚ and nausea. • Ultrasonography can usually detect signs of gallbladder inflammation. • The gallbladder is removed‚ often using a laparoscope. Cholecystitis is the most common problem resulting from gallbladder
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Questions 1. A patient contracts hepatitis from contaminated food. During the acute (icteric) phase of the patient’s illness‚ the nurse would expect serologic testing to reveal A antibody to hepatitis D (anti-HDV). B hepatitis B surface antigen (HBsAg). C anti-hepatitis A virus immunoglobulin G (anti-HAV IgG). D anti-hepatitis A virus immunoglobulin M (anti-HAV IgM). Correct 2. The nurse determines that administration of hepatitis B vaccine to a patient has been effective when a specimen
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when virus is still present in the blood Clinical Manifestations: First 4 days: >febrile or invasive stage --- starts abruptly as high fever‚ abdominal pain and headache; later flushing which may be accompanied by vomiting‚ conjunctival infection and epistaxis 4th to 7th day: >toxic or hemorrhagic stage --- lowering of temperature‚ severe abdominal pain‚ vomiting and frequent bleeding from GIT in the form of melena; unstable BP‚ narrow pulse pressure and shock; death may occur; vasomotor collapse
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HESI REVIEW CH # 1 Lab Ranges * Hgb | * Male 14-18 * Female 12-16 | * High-altitude living increases values. Slight Hgb decreases normally occur during pregnancy | * | * Hct | * Male 42-52 * Female 37-47 | * Prolonged stasis from vasoconstriction secondary to tourniquet can alter values | * | * RBC | * Male 4.7-6.1 * Female 4.2-5.4 | * Never draw specimen from an arm with an infusing IV. | * | * WBC | * 5‚000-10‚000 | * Anesthetics
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15 Injuries to the liver are commonly caused by correctly placed lap belts a. TRUE b. FALSE 16 The mortality from isolated abdominal stab wounds is less than 5% a. TRUE b. FALSE 17 A reliable indicator of intra-abdominal bleeding is the presence of shock from an unexplained source a. TRUE b. FALSE 18 Guarding is a reliable indicator for assessing abdominal trauma a. TRUE b. FALSE 19 The absence of a
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assessment interview - buy clearly stating why you are doing the interview and what it is for and briefly what its components are made up of. factors that may affect the health assessment interview: tone posture speed SAMPLE - Does the abdominal pain feel stabbing‚ burning‚ throbbing‚ stinging? etc - Are you allergic to anything? - Are you currently on any medication? - Have you been admitted to hospital for anything before? - When did you last go to the bathroom? - What were you doing
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Abdomen –abnormal pulsations‚ generalized distension (ascites)‚ swelling in one particular area‚ any scar‚ umbilical hernia‚ inguinal hernia‚ femoral hernia‚ fistulae‚ distended abdominal veins (the flow is away from the umbilicus in portal hypertension but upwards from the groin in inferior vena cava obstruction) Palpation Parotid enlargement Gynaecomastia Hepatomegaly Splenomegaly Hepatosplenomegaly Kidney enlargement (ballotable) Shifting dullness and fluid thrill for ascites Percussion Upper
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Case Study: Margaret Whilst the patient is in PACU‚ identify and discuss airway management (and rationales) as related to the case study (400 words) The post-operative patient is at risk for respiratory problems due to ineffective airway clearance related to changes in pulmonary physiology and function caused by anaesthetics‚ narcotics‚ mechanical ventilation‚ hypothermia and surgery. With increased tracheobronchial secretions secondary to the effects of anaesthesia‚ combined with ineffective
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