Abdominal Assessment


Scholarly references should not be more than 5 years old.

Chief Complaint: “I have a pain in my stomach.”

Michael is a 17 year old male with a 16 hour history of intermittent epigastric and RLQ pain, which has increased in intensity over the last 4 hours. Currently, he is experiencing nausea and has vomited. He states that the pain started during football practice yesterday and was in the middle of his stomach. It bothered him overnight but noticed the pain was really bad about 6 AM when he was suppose to get up to go to school. He stated the pain had moved down to the lower right side of his abdomen.

Michael reported that his last meal was lunch at school yesterday and that he did not eat dinner last night because of the pain and nausea. He stated that he has taken some hits in football but this pain is worse. He states his last bowel movement was yesterday morning and was normal.

Childhood illnesses includes measles, mumps, rubella and varicella. Immunizations are up to date. Denies surgeries. He had a sports physical at the beginning of the season.

  1. Was all the necessary past medical history obtained? Were there any additional questions that should have been asked? If so what are they?
  2. Which portions of the physical examination will you perform? Why?
  3. What physical examination findings might you expect while examining this patient?
  4. What would be your list of differential diagnosis and which will be the diagnosis for this patient?

Sample Solution