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    A 50-year-old man presented with acute epigastric pain and vomiting, which could indicate a dissecting aortic aneurysm, appendicitis, pancreatitis, or peritonitis. An examination should check for pallor, pulse abnormalities, signs of internal bleeding, aortic width, bruits, and tenderness to rule out these conditions. A 65-year-old man presented with constipation, pencil-thin stools for 2 months, weakness, weight loss, and periumbilical pain, indicating potential bowel obstruction, malignancy, or adhesions. An examination should check for weight loss, pallor, lymphadenopathy, dehydration, abdominal scarring, bowel sounds

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    A 50-year-old man presented with acute epigastric pain and vomiting, which could indicate a dissecting aortic aneurysm, appendicitis, pancreatitis, or peritonitis. An examination should check for pallor, pulse abnormalities, signs of internal bleeding, aortic width, bruits, and tenderness to rule out these conditions. A 65-year-old man presented with constipation, pencil-thin stools for 2 months, weakness, weight loss, and periumbilical pain, indicating potential bowel obstruction, malignancy, or adhesions. An examination should check for weight loss, pallor, lymphadenopathy, dehydration, abdominal scarring, bowel sounds

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    39 views1 page

    Osce

    Uploaded by

    theodore_estrada
    A 50-year-old man presented with acute epigastric pain and vomiting, which could indicate a dissecting aortic aneurysm, appendicitis, pancreatitis, or peritonitis. An examination should check for pallor, pulse abnormalities, signs of internal bleeding, aortic width, bruits, and tenderness to rule out these conditions. A 65-year-old man presented with constipation, pencil-thin stools for 2 months, weakness, weight loss, and periumbilical pain, indicating potential bowel obstruction, malignancy, or adhesions. An examination should check for weight loss, pallor, lymphadenopathy, dehydration, abdominal scarring, bowel sounds

    Copyright:

    © All Rights Reserved
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    of 1

    A 50-year old man with A 65-year old man presents

    hypertension complains of with CONSTIPATION and


    acute onset of EPIGASTRIC pencil-like stools for 2 months
    PAIN and vomiting. Perform with associated body
    an initial examination to weakness, weight loss, and
    check for dissecting aortic periumbilical pain. Perform an
    aneurysm r/o appendicitis initial examination to check for
    r/o pancreatitis r/o
    bowel obstruction secondary to
    malignancy r/o intestinal
    peritonitis.
    adhesions
    - Pallor - Weight loss
    - PULSE: brachial, - Pallor
    femoral - Cervical
    - Grey turner, Cullen lympahdenopathy
    - Aortic width - Dehydration
    - BRUITS: Aortic, renal - Scar abdomen
    femoral - Visible peristalsis
    - Percussion tenderness - Distention
    - Involuntary rigidity - St. Mary joseph nodule
    - Rebound tenderness - Bowel sound:
    - McBurney’s point hyperactive/diminished
    - Rovsing - Percuss:
    - Obturator dull/tympanitic
    - Psoas sign - Palpate: abdominal
    - BP: 2 hands <10mmhg mass
    - Hepatomegaly
    - DRE: rectal mass

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