Abdominal Pain: Esperanza

Abdominal Pain: Esperanza

Read the case study below and answer the questions.
Your answer should be more than one sentence. If you use a citation from
your textbook or other sources, you will need to make sure to use the
appropriate APA format.

Esperanza has been admitted to a medical-surgical unit with
a chief complaint of “pain of unknown origin.” She is 39 years old, married,
has two teenage children, and works with her husband in their landscaping
business. As you prepare for the admission assessment, her mother, who brought
Esperanza to the hospital, tells you that they fear that Esperanza has
“empacho.” Esperanza agrees that she also believes it may be “empacho”.

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Abdominal Pain: Esperanza

You ask Esperanza to describe the pain in her own words. She
begins to sob and says that she finds it hard to describe the pain. She says
that she has given birth twice and that this pain is worse, but it only happens
after she eats dinner and goes away after a few hours. She is not in severe
pain at present but complains of a constant slight ache in her stomach.
Esperanza tells you, “I have tried some remedies my mother recommended, but
they haven’t worked.”

Abdominal Pain: Esperanza

You learn that Esperanza prepares her family’s largest meal
in the evening and that the pain episodes occur about an hour after eating and
last for 2 to 4 hours. She says she is nauseated with these episodes and has
occasionally vomited. She has not noticed any weight loss. She has had two
episodes of diarrhea.

Exam findings: Abdomen slightly rounded,
soft, and symmetric; the skin is smooth with striae on the lower abdomen and is
absent of scars, bruises, or lesions. Bowel sounds are present in all quadrants
and normoactive. Percussion is predominantly tympanic. On light
palpation, she guards when you touch the right upper quadrant area.

Abdominal Pain: Esperanza

What
subjective and objective findings do you consider are a deviation from
normal or expected and suggest the need for further investigation?

What
additional questions would you ask? Would you wish to perform any
additional assessments and, if so, which ones? Why?

Discuss
the findings for the following conditions. Compare these findings with
Esperanza’s findings. Which condition(s) do you suspect after
comparing these findings?

Intestinal
Obstruction:

GERD:

Cholecystitis:

Pancreatitis

Duodenal
ulcer:

Gastric
ulcer:

Appendicitis: