Male, 50 years old, was admitted to the emergency department with abdominal pain for 7 hours The patient overate 8 hours before and felt discomfort in the upper abdomen after drinking alcohol. 7 hours ago, there was sudden severe pain under the xiphoid process, accompanied by nausea and vomiting of stomach contents several times. 5 hours ago, abdominal pain spread to the right lower abdomen with onset of fever. The patient refused to press the abdomen due to pain, irritable, and had cold sweats. Physical examination: T38.6 °C, P104 /min, R24 /min, BP100/60mmHg. Acute painful appearance, irritability, no obvious lesions in cardiopulmonary examination, flat abdomen, no gastrointestinal and peristaltic waves, extensive abdominal muscle tension, tenderness in the subxiphoid area and right middle and lower abdomen, obvious rebound pain. The most prominent undershoot, liver and spleen are not reached, Murphy sign (-), shifting dullness (-). Bowel sounds are heard occasionally, and rectal examination is normal. Auxiliary examination: blood examination WBC11×10%/L, Hb 140g/L. Please briefly describe the diagnosis and basis of diagnosis, differential diagnosis, further examination, and treatment principles.
Male, 50 years old, was admitted to the emergency department with abdominal pain for 7 hours The patient overate 8 hours before and felt discomfort in the upper abdomen after drinking alcohol. 7 hours ago, there was sudden severe pain under the xiphoid process, accompanied by nausea and vomiting of stomach contents several times. 5 hours ago, abdominal pain spread to the right lower abdomen with onset of fever. The patient refused to press the abdomen due to pain, irritable, and had cold sweats. Physical examination: T38.6 °C, P104 /min, R24 /min, BP100/60mmHg. Acute painful appearance, irritability, no obvious lesions in cardiopulmonary examination, flat abdomen, no gastrointestinal and peristaltic waves, extensive abdominal muscle tension, tenderness in the subxiphoid area and right middle and lower abdomen, obvious rebound pain. The most prominent undershoot, liver and spleen are not reached, Murphy sign (-), shifting dullness (-). Bowel sounds are heard occasionally, and rectal examination is normal. Auxiliary examination: blood examination WBC11×10%/L, Hb 140g/L. Please briefly describe the diagnosis and basis of diagnosis, differential diagnosis, further examination, and treatment principles.
Chapter17: Drugs And Dissection
Section: Chapter Questions
Problem 1.2CS
Related questions
Question
Transcribed Image Text:Male, 50 years old, was admitted to the emergency
department with abdominal pain for 7 hours
The patient overate 8 hours before and felt discomfort in
the upper abdomen after drinking alcohol. 7 hours ago,
there was sudden severe pain under the xiphoid process,
accompanied by nausea and vomiting of stomach
contents several times. 5 hours ago, abdominal pain
spread to the right lower abdomen with onset of fever.
The patient refused to press the abdomen due to pain,
irritable, and had cold sweats.
Physical examination: T38.6 °C, P104 /min, R24 /min,
BP100/60mmHg. Acute painful appearance, irritability,
no obvious lesions in cardiopulmonary examination, flat
abdomen, no gastrointestinal and peristaltic waves,
extensive abdominal muscle tension, tenderness in the
subxiphoid area and right middle and lower abdomen,
obvious rebound pain. The most prominent undershoot,
liver and spleen are not reached, Murphy sign (-),
shifting dullness (-).
dullness (-). Bowel sounds are heard
occasionally, and rectal examination is normal.
Auxiliary examination: blood examination WBC11×10%/L, Hb 140g/L.
Please briefly describe the diagnosis and basis of diagnosis, differential diagnosis, further examination,
and treatment principles.
Expert Solution
This question has been solved!
Explore an expertly crafted, step-by-step solution for a thorough understanding of key concepts.
Step by step
Solved in 4 steps
Recommended textbooks for you
Surgical Tech For Surgical Tech Pos Care
Health & Nutrition
ISBN:
9781337648868
Author:
Association
Publisher:
Cengage
Fundamentals of Sectional Anatomy: An Imaging App…
Biology
ISBN:
9781133960867
Author:
Denise L. Lazo
Publisher:
Cengage Learning
Surgical Tech For Surgical Tech Pos Care
Health & Nutrition
ISBN:
9781337648868
Author:
Association
Publisher:
Cengage
Fundamentals of Sectional Anatomy: An Imaging App…
Biology
ISBN:
9781133960867
Author:
Denise L. Lazo
Publisher:
Cengage Learning