A 14-year-old girl sitting in the lodge is complaining of severe abdominal and flank pain. She tells you that her symptoms started a couple of days ago but have worsened over the last few hours. She has chills and thinks she might have a fever. Based on her complaints, you are concerned that she may have:
a. cholecystitis.
b. pyelonephritis.
c. hepatitis.
d. nephrolithiasis.
Question 2
Assessment of a 21-year-old woman reveals that she has severe abdominal pain localized to her right upper quadrant. She is alert and oriented and has stable vital signs. After placing her supine on a stretcher, she quickly assumes a lateral recumbent position with her knees drawn up to her chest. Which of the following responses from you would be appropriate?
a. It would be best if you stay on your back. Staying there will help decrease the pain.
b. You can stay on your side, but I need to you to keep your legs straight to help decrease the pain.
c. I need you to stay on your back and with your head up. That way, if you vomit you won't aspirate it.
d. Are you more comfortable in that position? If you are, then you should stay on your side.
Areas of referred pain; A, anterior view; B, posterior view.
This girl ran four spinning machines in a cotton mill in Whitnel, North Carolina. Only 4 feet, 3 inc
Patellofemoral Pain Syndrome
Various sites of referred pain.
Severe periodontitis in a patient with uncontrolled diabetes.
Abdominal reflex testing pattern