The abdomen

Mr. J.C., a 55 year-male caucasian, is admitted to the Medical-Surgical Unit with complaints of sharp pains in his right lower abdomen. He also complains of nausea and a slight headache. He denies vomiting. Upon assessment, you palpate his right lower abdomen, and he grimaces and screams as you remove your hands. His Temperature is 101.2F; Pulse 96 even and regular; Respiration 20 even/unlabored; Blood pressure is 130/82.

• Based on his presenting signs, what other questions would you ellicit?
• How would you demonstrate knowledge of cultural sensitivity/humility in approach to this patient?
• What would you assess?
• What could be the problem?
• included at least three references no older than 5 years.