Fred, a 25-year-old man, came into the ED guarding his right side. The doctor palpates his...
Fred, a 25-year-old man, came into the ED guarding his right side. The doctor palpates his abdomen and notices the maximal tenderness is at McBurney's point. Fred told Dr. Marcus that the pain started around his navel then moved to his lower right side. Shortly after the pain intensified, he started vomiting. His temperature is 101°F. Based on his most likely diagnosis, what other tests could the doctor order that have a high predictive value? What would you expect the result to be on a patient with this condition?
| a. |
white blood cell count; increased |
|
| b. |
red blood cell count; increased |
|
| c. |
serial white blood cell counts (4-8 hours apart); decreased |
|
| d. |
serial white blood cell counts (4-8 hours apart); increased |
Homework Answers
ANSWER
a) White blood cell count; increased. Based on clinical manifestations patient likely diagnosis is
Appendicitis so other predictive value diagnostic tests include.
* Abdominal radiographs.
* Ultrasound scan.
* CT scan of abdomen.
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