Here are the responses from members who came to the Admin Help Desk to submit their diagnoses for the 1st Case Study Investigation (CSI).
CONGRATULATIONS and THUMBS UP to those with the correct diagnosis!
Thank you to all who participated. We hope you enjoyed the CSI.
Be on the look out for the next CSI installment coming very soon!
I think the next question to ask is if the pain is typically worse a few hours after a meal. After the stomach is emptied.
That might point to a peptic ulcer.
This is a reply to the case study: My Stomach Hurts!
I'm guessing that it's peptic ulcer disease based on the early satiety, burning pain, indigestion and nausea. Maybe a bleeding ulcer with the fatigue, paleness and tachycardia.
I'd ask him if the pain is worse when his stomach is empty or he hasn't eaten. Curious to see what the final answer is!
Thinking aortic aneurysm, because he said it is a burning and gnawing pain. I would have asked him to describe more in detail the "gnawing" pain and try to rule out an AA.
Ok, so I am now hoping this poor fellow doesn't have stomach cancer?!
my answer to the case study Re: My stomach hurts
I am no ER nurse but I will give it a try. The question the nurse would ask is if Jim is on any medications and if he took any meds. to relieve the pain?
PUD possibly complicated w bleeding, vs. basic acute gastritis.
Interesting case study. I would want to ask about what he had to drink with the Mexican food. Does he consume alcohol frequently? Possibly a case of pancreatitis?
Thanks, it will be interesting to see the answer.
Case study answer
Peptic ulcer/H. Pylori
Sounds like diverticulitis, even though that wasn’t one of the options in the list
I would want to know if he’s loss any weight recently without trying? Or gained weight? I’m thinking with Early satiety and fatigue if there a mass somewhere.
Abdominal pain case article:
Does your pain feel like it’s going through to your back?
I'm submitting my guess for the CSI case. Depending on the proximity of the patient's dining experience to the onset of symptoms (one of the questions recommended by another poster), my guess at this point is either peptic or duodenal ulcer.
Peptic ulcer disease. Probably needs a CBC, hemoccult, maybe a scope if hgb low and heme +.