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 Dementia & abdominal pain  

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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

I picked 2 but not surerolling eyes


Any alternative?



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