The most significant aspects of diagnosing acute perforation of ulcer disease are: History of ulcer disease Severe pain around the umbilical protuberance, transferred to the right lower abdomen Severe abdominal pain Free air under the diaphragm Abdominal pain relieved several hours later, suggesting disease improvement

The most significant aspects of diagnosing acute perforation of ulcer disease are: History of ulcer disease Severe pain around the umbilical protuberance, transferred to the right lower abdomen Severe abdominal pain Free air under the diaphragm Abdominal pain relieved several hours later, suggesting disease improvement

3-2-1 Code It

6th Edition

ISBN:9781337660549

Author:GREEN

Publisher:GREEN

Chapter11: Cpt Surgery I

Section: Chapter Questions

Problem 13MC

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Diagnosis: Small bowel obstruction secondary to Ascaris lumbricoides infectionCase Study 4:A 5-year-old boy who lived in a slum area in Cebu City presents to the ER with abdominal painand vomiting. He was ill for a day, but his symptoms have worsened in the past few hours, andhis parents panicked when they saw a reddish-yellow worm in his vomitus. He has no significantmedical history and has taken no medications. On examination, his abdomen has high-pitched,tinkling bowel sounds on auscultation and is diffusely tender to palpation. An abdominal x-rayshows air- fluid levels consistent with a small bowel obstruction. Stool examination reportsrevealed positive for parasite ova/egg (unfertilized corticated ova).Case study presentation should include the following:1. Case2. Patient initials (Ex. 50-year-old man)3. History of the present illness (Symptoms and may include the physical exam of the patient)4. Chief Complaints (Ex. Morning stiffness in his joints for over a year)5. Diagnosis and…