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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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27 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
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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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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