You have a 24 year old female who comes to the office c/o lo…

You have a 24 year old female who comes to the office c/o lower abdominal pain. She states that the pain started 2 days ago became severe this am. On exam she has significant LLQ tenderness, a rigid abdomen, and rebound tenderness. What would be the MOST important piece of information to get next?

While doing an assessment of the perianal area of a client,…

While doing an assessment of the perianal area of a client, you note the following: pigmentation of anus is darker than surrounding skin; anal opening closed; a skin sac that is shiny and blue. The client has had pain with bowel movements and noted some spots of blood occasionally. You interpret these data as indication of: