I need to diagnose the disease/condition that the patient has please help?!


Question: I need to diagnose the disease/condition that the patient has please help.?
The chief complaint is Abdominal pain

The history of the present illness is
The patient complains of nausea and vomiting
Fever is 103
There is pain in the middle of the back
The patient has clammy skin

The patient does also have a latex allergy


Please help diagnose
Health Question & Answer


Answers:
pancreatitis

is the only thing that would produce pain in the mid-back.
this is because the pancreas is in the retroperitoneal space - which in fact is part of the back.

a perforated stomach ulcer could produce similar symptoms - but you'd expect the patient to localize the pain to the upper abdomen, not the back.

without the fever, you might suspect an aortic dissection.

The kidneys are also in the retroperitoneal space, but as a rule, pyelonephritis is never described as back pain - it is described as flank pain.

vertebral osteomyelitis with paraspinal abscess would produce fever and back pain, but never nausea.

You'll have to go with pancreatitis - based on the limited information given above.Health Question & Answer

Is this real or homework/case study.? Is the person's abdomen enlarged.? If this is someone at home, they need to get to an emergency room NOW. Could be a slew of things that require immediate surgical intervention.Health Question & Answer

How old.? Where exactly on the abdomen do they point when they say it hurts.? How long have they been this way.? Are they vomiting or just feel like they could.?Are they in the hospital now getting fluids.? Any diarrhea.? Health Question & Answer

Appendicitis.Health Question & Answer



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