LAB 1: GENERAL, MENTAL STATUS EXAM, SKIN



ABDOMINAL PHYSICAL EXAM

Instructions: Pick one of the following cases for your HxPxDx Exam write-up

CASE A

A 17 y/o male, named Steven Johnson comes in because he has had “Severe stomach pain” for the past 6 hours.

Vital signs

• Temp: 103 F, HR: 120, regular, RR: 23, BP: 90/60

• Pulse-ox: not obtained, Pain: 8/10, Ht: 6’1”, Wgt: 210 lbs [use adult BMI measurements]

Abdomen:

• Pain and tenderness to light and firm palpation in the lower right quadrant.

• Guarding and rigidity. Rebound tenderness.

• Abdominal aorta not deeply palpated due to patient’s condition.

• Negative Murphy’s sign. Positive obturator sign and Rovsing’s sign. Negative psoas sign.

CASE B

A 71 y/o male, named John Stevenson comes in because he has had “Severe stomach pain” for the past 6 hours.

Vital signs

• Temp: 103 F, HR: 120, regular, RR: 23, BP: 90/60

• Pulse-ox: not obtained, Pain: 8/10, Ht: 6’1”, Wgt: 210 lbs

Abdomen:

• Pain and tenderness to light and firm palpation in the lower left quadrant.

• Guarding and rigidity. Rebound tenderness.

• Abdominal aorta not deeply palpated due to patient’s condition.

• Negative Murphy’s sign. Negative obturator sign and Rovsing’s sign. Negative psoas sign.

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Case A

Case B

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