Case
You are tasked to a 29yo male with acute abdominal pain.
Assessment
Anxious but alert and oriented slender young man.
Pale, cool, clammy
BP 145/90. HR 105, RR 25 SaO2 99%,
D – severe abdominal pain 8/10 O – Intermittent pain over the last few weeks but became severe 2 hours after dinner, L – upper abdominal pain O – Nausea and vomiting, occasional constipation R – initially relieved after vomiting but this time unrelieved.
Abdomen tense, appears distended.
PMHx
Nil significant
Nil known allergies
Nil prescribed medications, occasional paracetamol
What do you know about the patient? What do you still need to find out? | |
Outline 3 provisional diagnoses. | |
Discuss your final diagnosis and the pathophysiology behind the diagnosis. | |
Discuss the implications for paramedic practice. |
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