The initial post must include responses to all the questions in both case studies.

Ms. F, 48 years old, has been … to the hospital with severe abdominal pain. Earlier that day she had generalized abdominal pain, followed by a severe pain in the lower right quadrant of her abdomen, … by nausea and vomiting. That evening she was feeling slightly … to subside somewhat. Later that night, severe, steady abdominal pain developed, with vomiting. A friend took her to the hospital, where examination … lower right quadrant tenderness and mild abdominal rigidity. Fever and leukocytosis indicated infection. A diagnosis of acute appendicitis, with possible perforation, was … , with immediate surgery.

Discussion Questions 

1. Why is the sequence of pain (location and type of pain) significant in the diagnosis of acute appendicitis? Describe the rational for each type of pain. Does this sequence confirm the diagnosis?
2. Using the pathophysiology, describe the reason for:
   • the pain subsiding and then recurring: The pain subsiding would be a indication of rupture of the appendix. Pain reoccurs shortly after because peritonitis develops post rupture (Hubert & VanMeter, 2018).
   • leukocytosis and fever: Leukocytosis and fever occur because there is inflammation developing post rupture.

Ms. T, age 28 years, has … urgency, frequency, and dysuria recently, as well as an unusual odor to the urine. Urinalysis indicated a heavy concentration of Escherichia coli in the urine, some pus, and WBCs. Ms. T was … antibiotics, which she took for the first few days. This seemed to give her relief, but she then … taking the medication. Within a few days, the symptoms returned, but she decided to “just live with it.”

Discussion Questions 

1. Explain why women are predisposed to cystitis.
2. What preventive measures are important in reducing recurrence?
3. Discuss other signs and symptoms that may indicate
4. What potential problems may she experience if she does not adhere to the treatment prescribed?