Running head: JEROME CAUTHEN V3 PC

Jerome Cauthen V3 PC

Name

Course

Institution

Date
JEROME CAUTHEN V3 PC 2

Jerome Cauthen V3 PC

Question 1

Based on my performance and expert answers, one missed question in history collection

is whether the patient had noticed any blood in the stool. According to Bahd (2017), blood in the

stool may signal no serious issue or serious issues related to anal fissures, diverticular disease,

peptic ulcers, colitis, or cancer which are all frightening. A second missed question on history

collection is whether the patient had pain and how the pain varied in respect to aggravating and

relieving factors. Goolsby and Grubbs (2018) point out that for the abdominal examination, an

examiner should include information related to pain, nausea, vomiting, constipation, bleeding,

and bowel habits.

Question 2

During the physical examination, I missed rectal examination an important part of the physical

examination of the patient. Rectal examination is essential in determining if a patient is

constipating or whether the current problem is associated with other underlying issues. An

important error made during the physical examination was highly pumping the blood pressure

cuff due to overestimation of systolic pressure. According to Bickley (2007), once the pulse

disappears, one is required to add 30 mm Hg to avoid over pumping.

Question 3

A key finding included in the list is abdominal pain which the patient ranked on a scale of

10 as 6 out of 10. According to Goolsby and Grubb (2018), to test for pain, one needs to slowly

press the abdomen using fingertips while holding the position until the patient changes position

in response to pain or the pain subsides.

JEROME CAUTHEN V3 PC 3

Question 4

While abdominal pain may be associated with Peptic ulcers (Bahd, 2017), I missed this

category as Mr Cauthen claimed to be healthy and denied smoking, factors associated with the

development of peptic cancer like duodenal and gastric ulcers.

Question 5

A missed differential diagnoses were ulceration, a condition that is associated with peptic

ulcers.
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References

Blahd, W. (2017). Blood in stool. WebMD Medical reference. Retrieved from

https://www.webmd.com/digestive-disorders/blood-in-stool#1

Goolsby, M. J., & Grubbs, L. (2018). Advanced assessment interpreting findings and

formulating differential diagnoses. FA Davis.