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A self-reflection on a clinical case involving a 54-year-old female patient with abdominal pain, focusing on the diagnostic process for a small bowel obstruction (sbo). The reflection details the questions asked to identify the onset, location, and characteristics of the pain, as well as related medical and social factors. It also covers the pertinent health history, review of systems, physical assessment, and diagnostic testing used to confirm the sbo diagnosis, highlighting the importance of a detailed approach in patient care and diagnostic accuracy.
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Week 5 iHuman Self-Reflection Jessica Lindner Chamberlain University NR 509 Advanced Physical Assessment Dr Ashlee Loewen August 2022
discomfort was present throughout general abdomen, occasional palpable peristalsis and moderately tympanic percussion. Abdominal distension, nausea and vomiting, and hypoactive bowel sounds are all findings related to the epigastric abdominal pain (Bickley, et. al., 2021). Diagnostically, the abdominal XR confirmed the suspicion of a small bowel obstruction and UA showed high specific gravity suggestive of mild dehydration. Through detailed health history, ROS, physical assessment and diagnostic testing I was able to effectively diagnose the patient with a SBO and get them the care they needed to recover with good health outcomes.