Clinical case study analysis in abdominal symptoms and diffe…

Instructions It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format. Classroom Participation Students are expected to address the initial discussion question by Wednesday of each week. Participation in the discussion forum requires a minimum of three (3) substantive postings (this includes your initial post and posting to two peers) on three (3) different days. Substantive means that you add something new to the discussion supported with citation(s) and reference(s), you are not just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion, however should be correlated to the literature. All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion or initial discussion is late, you will not receive points for content and analysis, you may however post to your peers for partial credit following the guidelines above. Initial Response Instructions: Read the following case study and answer the posed questions Case #1: A 64-year-old man presents to the emergency department with abdominal pain and distention, as well as constipation of 8 days duration. He denies vomiting, fever, diarrhea, or dysuria. Except for hypertension, he is otherwise healthy with no prior surgeries. His vital signs are normal except for a borderline pulse of 99 bpm. His physical examination is unremarkable except for his abdomen, which is large, rotund, and tympanitic. There is diffuse tenderness everywhere in the abdomen. What history would you want to obtain? What differential diagnoses would you consider? List and describe the specific diagnostic tests you might order to determine cause of his concern? Case #2: Kyle is a 58-year-old man who is experiencing lower abdominal discomfort nausea and diarrhea lasting 2 days. He thought he had eaten something that disturbed his stomach but since this has lasted so long, he is afraid its something serious. As you obtain a history from this patient what differential diagnoses are you considering. Give rational for your choices. Discuss the pathophysiologic relationship between nausea and vomiting? Cite current research findings, national guidelines, and expert opinions and controversies found in the medical and nursing literature to support your position and suggestions. Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the students position. Please be sure to validate your opinions and ideas with citations and references in APA format.