This part of assignment 1 is designed to examine your knowledge of pathophysiology and pain assessment related to the presenting symptoms of the patient in the case study.

Jane Renler (aged 19) is admitted to the Emergency Department with abdo-minal pain on a Wednesday afternoon, around 3pm. She has been referred to the hospital by her general practitioner and is accompanied by her parents, Gillian and Harry. Her initial examination reveals that she is anxious, pale, febrile and diaphoretic. When you approach her to interview her you find her curled up in her bed and reluctant to move. She states that she has abdo-minal pain in her lower ‘tummy’ and that she has been nauseated and vomiting for the last 10 hours.

You interview Jane and find out the following information:

• She is one of two children, with a younger brother James, aged 16.

• Her parents have recently separated amicably.

• She has a history of asthma that is well controlled using an asthma management plan.

• She has no known allergies.

• She does not smoke; she drinks 10–20 standard drinks on a weekend with her friends while out clubbing; and she denies any use of illicit drugs.

• She lives at home with her mother (her brother lives with their father).

• She has a part-time job in a supermarket (two 10-hour shifts a week).

- Discuss five probable causes for her pain—other than appendicitis. (Approximately 200 words).

- Complete a pain assessment of Jane by stating 5–7 questions you would ask her about her pain and give a reason/rationale for each question. It is expected that you will provide appropriate references (approximately 300 words).


내가 생각한 원인
- 1 임신 (여성의 특성상. 나이대도)

- 2 급성 간염 (알코올을 기인으로 한)

- 3 약물오남용 (부모가 있어서 거짓말 할수도 있음)

- 4 식중독 (증상이 그래보임)

- 5 바이러스성 위염 (증상이 비슷함)


참신한 의견 있는사람 있으면 댓글줘.
- (충수염 제외하고다... 충수염 ㄴㄴ)