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SOAP - Essay Example

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Garcia presents with sudden abdominal pain. She denies trauma. She states the pain started today and has gradually got worst. Food or liquids do not make a difference in abdominal pain. Pain 1/10. Patient appears in no acute distress. Denies fever, chills, n/v/c/d. Denies…
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Download file to see previous pages... 3 Appendicitis: patient lying still; involuntary guarding; tenderness in RLQ; other tests for peritoneal irritation positive; rebound tenderness; variation in presentation common, particularly with infants, children, and elderly (Dains, Baumann and Scheibel, 2012).
4 Pelvic inflammatory disease (PID): Abdominal tenderness, CMT and adnexal tenderness (usually bilateral); with peritonitis can also have guarding and rebound tenderness; fever and vaginal discharge common (Dains, Baumann and Scheibel, 2012).
a Rationale: an abdomen or pelvis CT scan is done to diagnose the causes of abdominal pain which is often unexplained or infections (Corwin et al, 2014). Some causes of abdominal pain include infections such as appendicitis.
a Rationale: the transvaginal ultrasound test looks at the reproductive organs of a woman, including the cervix, ovaries and the uterus. The test is conducted when there is an ectopic pregnancy or pelvic pain (Saccardi et al, 2012).
a. Rationale: this is an ultrasound that focuses on the female pelvis. It examines a woman’s pelvic organs including the cervix, ovaries, uterus and the uterus lining (endometrium). A pelvic ultrasound is vital in diagnosing symptoms which are often felt by females such as pelvic pain. Also, a pelvic ultrasound is vital in monitoring the development and health of a fetus or embryo during pregnancy (Durham et al, 1997).
Summary: (EXAMPLE GIVEN) I found this case particularly interesting because it allows me to utilize what I’ve learned during our health assessment workshop on campus I learned to evaluate the patient. By observing patient’s gait and performing test such as the Tinel’s sign test and Varus/Valgus stress test I was able to rule out possible sprain and/or tunnel syndrome (Graham & Uphold, 2003). I learned from my preceptor how to order test like x-ray and how to refer patients to other interdisciplinary ...Download file to see next pagesRead More
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