determine
Forum Guru
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An 89-year-old woman with severe Alzheimer-type dementia presents with a chief complaint of fever and a 1-day history of severe right lower quadrant abdominal pain. The patient is unable to recall her name or the date. Which one of the following actions is appropriate at this time?
1) presume the pain is a manifestation of her dementia
2) begin a diagnostic workup to evaluate an abdominal process
3) wait until further information can be obtained from the daughter
4) presume that the pain could be anywhere and begin a general workup
5) discount the symptoms and rely on objective data, such as a rectal temperature
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| babli
Forum Guru
Topics: 40
Posts: 425
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2
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| srf
Forum Guru
Topics: 73
Posts: 405
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2
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life is reality without an eraser
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| marasmus
Forum Junior
Topics: 2
Posts: 42
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2
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| determine
Forum Guru
Topics: 152
Posts: 335
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What about 5?
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| srf
Forum Guru
Topics: 73
Posts: 405
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never disregard pt complain. you have to look for it first. no memory is required to say present symtom.
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life is reality without an eraser
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| marasmus
Forum Junior
Topics: 2
Posts: 42
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competance is a legal issue not medical..doctors are not the best people to assertain competance..
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| achilles
Forum Guru
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Posts: 1,204
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yup, i'll go for 2 too.
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