Your patient is a 44-year-old female with a history of hiatal hernia. She is complaining of diffuse abdominal pain. All four quadrants are tender to palpation. She also states that she has vomited numerous times and describes the presence of bile. You note that her abdomen is slightly distended, and auscultation of her abdomen reveals absent bowel sounds. Of the following, which is the most likely cause of her clinical condition?
A) Pancreatitis
B) Cholecystitis
C) Diverticulitis
D) Bowel obstruction
Question 2
You are transporting a depressed patient who states that she is thinking of killing herself by taking a whole bunch of pills. After giving this information, the patient has refused to speak and has been silent ever since. Which one of the following statements would be most appropriate at this time?
A) I don't understand why you won't talk. You called 911 for help, didn't you?
B) Has the cat got your tongue? If you talk to me I can help you.
C) I understand if you do not want to talk. I will be sitting here if you need anything.
D) I need you to talk to me. I cannot help you if you refuse to talk to me.
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(a) Chicken pox vesicles. (b) Chicken pox on back of young patient.
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