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What is the potential risk of palpating a painful abdomen before assessing other areas?

  1. Causative friction

  2. Worsening pain perception

  3. Delayed diagnosis

  4. Causing further injury

The correct answer is: Worsening pain perception

Palpating a painful abdomen before assessing other areas can exacerbate pain perception for the patient. This is because applying pressure or manipulation in a region that is already sensitive can heighten the patient's discomfort and anxiety. If the pain is severe, this could also influence the patient's overall response and ability to provide accurate information about their condition. Additionally, acute abdominal conditions may involve underlying structures that could be further disturbed by palpation, thus increasing patient discomfort. Understanding the patient’s pain and reaction can provide critical insight into the underlying problems prior to any treatment or transport decisions. While palpating an area in pain does prolong examination and may contribute to a delay in diagnosis, the primary risk is the immediate increase in discomfort for the patient.