Signs and symptoms of which condition include nausea, localized ...

[future617RT]

Signs and symptoms of which condition include nausea, localized right lower quadrant guarding and tenderness after 12 to 24 hours, fever, and an elevated white blood cell count?
 
  a. Appendicitis
  b. Hepatitis
  c. Cecal volvulus
  d. Perforated duodenal ulcer

Question 2

A 16-year-old young woman is admitted to the critical care unit with severe hyperglycemia caused by new-onset type 1 diabetes mellitus. The nurse notes a sweet-smelling odor on the patient's exhaled breath. This is a result of
 
  a. compensation for metabolic alkalosis.
  b. ketoacidosis.
  c. prior ingestion of high-calorie foods.
  d. decreased serum osmolality.

[kishoreddi]

Answer to Question 1

A
Signs and symptoms of appendicitis include anorexia, nausea, and vomiting; early vague epigastric, periumbilical, or generalized pain after 12 to 24 hours; RLQ at McBurney point; localized RLQ guarding and tenderness after 12 to 24 hours; a white blood cell count of 10,000/mm or left shift; and low-grade fever. Signs are highly variable.

Answer to Question 2

B
If ketoacidosis occurs, the patient's breathing becomes deep and rapid (Kussmaul respirations), and the breath may have a fruity odor.

[future617RT]

TYSM

[phuda]

Excellent