Question

According to the following discharge summary, which is true about this patient? HPI Mrs. Roxana Collach presented to the ED with a 2-day history of increasing epigastric pain. She described the pain as constant and dull with radiation to her back. She also had progressive anorexia. She denied nausea, emesis, or diarrhea. She was febrile in the ED and had marked epigastric tenderness on exam with guarding. Her abdomen was slightly distended and she was mildly jaundiced. Her elevated amylase and lipase confirmed the suspicion of acute pancreatitis. She was admitted for pain control and IVF.

Answer 1

sounds to me it was more something with her liver vs her pancreas

Answer 2

Answer:

The answer is: 2.- She also had progressive anorexia. 3.- Denied nausea, emesis or diarrhea.

Explanation:

Epigastralgia is related to esophageal reflux disease, which causes heartburn and other gastrointestinal symptoms.

Thus, pain in the epigastrium is often accompanied by the following symptoms:

Heartburn, burning or cracking, heartburn

Stomach swelling

Excessive feeling of fullness after eating

Belching with or without food or liquid regurgitation

Loss of appetite  

Sickness

Vomiting  

Flatulence

Constipation

Diarrhea

Insomnia, as a result of discomfort.

The most appropriate treatment for epigastralgia depends on the cause of the pain. Changing habits is usually very effective, especially at the food level.

The answer is: 2.- She also had progressive anorexia.