Diagnosing and Managing Abdominal Pain in a 75-Year-Old Woman

Monitor vital signs and administer IV resuscitation if necessary (correct)

Perform surgery immediately

Prescribe antibiotics and pain medication

Insert a nasogastric tube and initiate bowel decompression

Acute pain at hernial site, features of small bowel obstruction, vomiting

Fever and signs of sepsis

Irreducible hernia, absent cough impulse, oedematous, erythematous overlying skin

All of the above (correct)

Full blood count, C-reactive protein, urea and electrolytes, arterial blood gas, blood culture, blood group and coagulation studies (correct)

Liver function tests, lipase, amylase, lactate dehydrogenase

Thyroid function tests, cortisol level, prolactin level

None of the above