Question

What are signs and symptoms of anemia? What is rebound tenderness? Guarding? What do the vital signs reveal? What would your abdominal assessment reveal? (Think IAPP) a.Inspection- b. Auscultation- c. Percussion- d. Palpation- 5.What medication could have contributed to his symptoms? 6. What is the diagnosis? 7. What medication regimen would be ordered for treatment?

Answer 1

PAGE No. DATE Ans - 1 Sign & Symptoms of Anemia :- o Anemia is 66 too little blood" It is a condition where too few BBC's are present or the BBC's are immature or too small or contain too little bemoglobin to carry oxygen needed. للعام → Bigns Symptoms • change in stool CNS: Fatigue, Fainting - Dizziness Low B.P Blood vessels : low B.pl • rapid breathing Heart: Palpitations, • pale or cold skin rapid heart rate , chest jaundice Ipain, Angina , Heart • heart murmur Tattack spleenomegaly spleen: enaligo Eyes: Yellowing skin : Pale, yellow, cold Trespiration shortness of breath

PAGE No DATE Symptoms Misurlar : Weakness Intestinal : changed tool colour. Ans-2 Rebound tenderness. It is a discomfost experienced by the patient that occurs when the pressure from palpation is released. It is a non-specific clinical sign that occurs upon sudden release of presszire on abdomen. Ans- 3 Guarding. It is tensing of the - abdominal wall muscles to guard inflammed organs within the abdomen from the pain of pressure upon them. → Guarded position is generally expected by patients with acute abdominal pain with knees drawn up & hands clenched over the abdomen

PAGE No. DATE Ans-3 Patients vital signs: # Temperature: 98.6°F - Normal li> Pulse :100 bpm - Normal Chorderline - (Normal range: 60-100 bpm) high) ji> Respiration : 18 bøm - Normal Cborderline high) (Normal range: 12-18 breaths / min) in B.P: 110/80- low (Normal range 120/80 mm of Hg) dus dbdominal Assessment: Gastritis . equscultation: Bi> Inspections Leabdominal soundsi scar Bowel Sounds: clear, contour: gusgling sound every (Is abdomen flat, 5-10 sec prominent) sunken? Stool, black, tarry. lily Percussion tympanic sound over air filled stomach. muffled sound -liver, spleen. 1 Palpation :

Deep palpation in all four quadsants: abdominal gusarding, Rebound tenderness Palpation of liver - Normal - Palipation Öł spleen - No spleenomegaly Ans-6 Patient may suffer from acute gastritis aš evidenced by physical examination & WBC, Hb-count,