Case Study 4/08/22

🚨CASE STUDY 🚨

You are dispatched to a local school for a 16-year-old female with severe abdominal pain. The pain began last night but has become progressively worse over the last 16 hours. She states the pain started around her belly button but is now pointing to her RLQ. She also feels weak and nauseous, stating she hasn’t eaten since yesterday.

Your partner obtains the following vitals:

👉 HR: 106

👉 BP: 124/74

👉 RR: 20

👉 SpO2: 99%

👉 Temp: 101.2 F (38.4 C)

👉 BGL: Normal

En route you notice the patient wincing and guarding her RLQ when the ambulance hits bumps.

❓What is your primary diagnosis?

❓What other signs or symptoms could support this?

❓How would you manage this patient?

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[gusjeazer]

After 5 seconds, I thought 'pregnant' lol.
But yeah, appendicitis.
Load go and treat is the most important thing here.

[angryarkie]

Primary: appendicitis

Alternative: diverticulitis, kidney stone, ectopic pregnancy, fallopian torsion, severe PCOS.

[CironRash]

?appendicitis, ask about recent bowel movements and what they were like, ask if she had ever had her appendix removed, treat issues as appropriate for my scope (EMT) in line with infection, consider hi-flo if condition worsens, pre-alert ED/Resus asking where they would like the patient placed.

[howardsickles]

Appendicitis. Pain management and zofran