Approach to postoperative abdominal pain Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 47-year-old woman presents to the emergency department for evaluation of abdominal pain. The patient had an uncomplicated hysterectomy six days ago for the treatment of uterine fibroids. The patient was lifting a box yesterday and immediately felt a “pop” in the lower abdomen. The patient has been having bowel movements and passing gas normally. There are no associated fever, chills, nausea or vomiting. Temperature is 36.5°C (97.7 °F), pulse is 72/min, and blood pressure is 137/75 mmHg. Abdominal examination shows separation of the wound edges overlying the pubic incision. Which of the following additional examination findings is most likely to be present with this post surgical complication?

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Palpable well-circumscribed mass around the surgical site

Erythema, mild induration and tenderness around the incision

Absent cremasteric reflex

Distention, diffuse tenderness, and rebound pain in the abdomen

Bulge at the incision site with Valsalva maneuver