Help with Evaluation Methods for the Digestive System - Anatomy

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Question

Pain location: right lower quadrant, periumbilical, may radiate to the right flank

Aggravations: movement or coughing

Positive tests: right psoas sign, Rovsing test, Blumberg test, McBurney test

Which of the following abdominal disorders fits best with the given description?

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Answer

Acute diverticulitis: left lower quadrant

Acute pancreatitis: epigastric, can radiate to back, poorly localized, leaning forward may help alleviate pain, laying supine aggravates. May have positive Grey Turner's sign and Cullen's sign.

Acute cholecystitis: Right Upper Quadrant, Positive Murphy Sign, may radiate into right shoulder and scapula

Peptic ulcer: epigastric, may radiate to back, wakens patient at night, possible relief with certain foods, gnawing/aching pain, heartburn

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