Scribd
Upload
47 views1 page

Osce

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

Uploaded by

theodore_estrada
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
47 views1 page

Osce

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

Uploaded by

theodore_estrada
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 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

You might also like