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Question 1

likely GI issue?

• long-term history of NSAID use
• back pain, mid thoracic region to the right upper quadrant
• weight loss, loss of appetite, dark-colored stools
• episodes of epigastric pain within 3 hours of eating a meal
• episode of vomiting coffee-ground like materal

Answer 1

peptic ulcer disease

• longterm NSAID use leads to peptic ulcers, look for bleeding
• melena and coffee ground vomit indicates bleeding

Question 2

what GI issue?

• prolonged abdominal pain relieved by bowel movements
• stool is hard, loose, or watery stool
• change in stool frequency or difficulty having a bowel movement.
• Left lower quadrant pain with constipation and diarrhea

Answer 2

irritable bowel syndrome

Question 3

what GI issue?

• abdominal pain with vomiting
• low-grade fever
• anorexia
• nausea
• Pain constant and may shift within 12 hours to the right lower quadrant at the McBurney point

Answer 3

appendicitis

Question 4

where is McBurney point?

Answer 4

1/3 distance from ASIS to umbilicus

most common location of appendix