Discuss etiology and pathogenesis of alex current condition

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Reference no: EM133866536

Case Study

A mother brings her 6 year-old son, Alex, into the Emergency Department at 9 AM. She said Alex did not eat much for dinner the night before because he told her his belly button hurt. At 2 AM he woke up feeling nauseated, but he went back to sleep. At 7 AM he woke up with stomach pain and he vomited twice. His emeses were non-bilious and non-bloody. Alex's mother explained he was in so much pain he could not stand up. During your physical examination you find the Alex's oral temperature is elevated at 101.8 °F (38.7°C). His HR is 88, RR is 24, B/P 100/60. When you assess his abdomen, Alex has hypoactive bowel sounds, and his abdomen is firm. You check for tenderness localized over McBurney's point and it is positive.

What do you suspect and why? Discuss the etiology and pathogenesis of Alex's current condition.

What are other possible signs you can assess to determine the possible diagnosis? Please explain.

Twenty minutes later Alex is vomiting, and his pain has increased significantly. Alex is tachycardic, diaphoretic, his respirations are shallow, and his systolic blood pressure is 54 palpable. His abdomen is now rigid and without bowel sounds. You check for Blumberg's sign and it is positive.

Explain the pathogenesis of his current state in detail. Include the rationales for his vital signs.

What clinical, diagnostic, and laboratory tests might you expect to be ordered in addition to a WBC? Be specific and state why the tests would be performed. What results do you expect and what abnormalities in this testing might you expect?

What interventions would be considered for this patient (medication, fluids, surgical, pain management)?

Reference no: EM133866536

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