Question

A 36-year-old man presents with a 12-h history of anorexia, nausea, and right lower quadrant abdominal pain.

A white blood cell count with differential demonstrates:
-TWBC=16,500 cells/mm3
-Neutrophils=66%
-Bands=8%
-Lymphocytes=22%
Expected physical examination findings include:
a) Murphy's sign.
b) A palpable left lower quadrant mass.
c) Periumbilical ecchymosis.
d) A positive obturator sign.

Answer 1

A 36-year-old man presenting with anorexia, nausea, and right lower quadrant abdominal pain is likely experiencing an immune response to infection. The elevated white blood cell count and presence of neutrophils and bands support this. A positive Murphy's sign would be an expected finding based on the symptoms and laboratory findings.

Step-by-step explanation:

The 36-year-old man presents with symptoms of anorexia, nausea, and right lower quadrant abdominal pain. The elevated white blood cell count (TWBC=16,500 cells/mm3) and the presence of neutrophils (66%) and bands (8%) indicate an immune response to infection. Based on the symptoms and laboratory findings, the expected physical examination finding would be a positive Murphy's sign.