Problem
Read the article, "Unusual case of appendicitis." Address the questions below in a black board discussion. Support your comments with references following APA guidelines.
A. What tool would you use to describe the patient's abdominal pain? How could the use of this tool improve communication between health care professionals? How can the use of the tool help decipher improvement or worsening of the patient's condition?
B. In reviewing the differential list for this patient. Discuss each differential diagnosis listed in the article and explain why each was ruled out in this patient's case. What questions would you have asked this patient during history taking that would assist you with determining a correct diagnosis?
C. Are there any other differential diagnosis that you would add to the list?
D. What is the significance of the elevated eosinophil level?
E. What education would you give the patient and family regarding the diagnosis of Enterobius vermicularis?
F. What is pharmacologic treatment of Enterobius vermicularis? Discuss the side effects, dosage considerations, precautions and contraindications.
G. This patient has a 9 month old sibling as well as a 5 year old sibling. You are asked to send prescriptions to the family pharmacy for preventive treatment. How should you proceed? What prescriptions(s) do you send to the pharmacy?
Reference
Allen, L. N., & Tsai, A. Y. (2016). Unusual case of appendicitis. BMJ case reports, 2016, bcr2016214944.