Question

What would you expect to find on abdominal examination in a 22 year old with a known history of intravenous drug use, presenting with a 5 day history of nausea, emesis, right upper quadrant abdominal pain, yellow skin, fever, and elevated heart rate, provisionally diagnosed with acute hepatitis?

1) Tenderness in the right upper quadrant
2) Hepatomegaly
3) Jaundice
4) Ascites

Answer 1

A 22-year-old with a history of intravenous drug use and a provisional diagnosis of acute hepatitis would likely have tenderness in the right upper quadrant, hepatomegaly, jaundice, and ascites upon abdominal examination.

Step-by-step explanation:

Based on the symptoms described, the abdominal examination in a 22-year-old with a known history of intravenous drug use and a provisionally diagnosed case of acute hepatitis would likely reveal:

1. Tenderness in the right upper quadrant
2. Hepatomegaly (enlarged liver)
3. Jaundice (yellow skin)
4. Ascites (fluid accumulation in the abdominal cavity)

These findings are commonly associated with acute hepatitis, which can be caused by viral infections. The inflammation of the liver leads to these symptoms and can be confirmed through an abdominal examination.