You are tasked to a 29yo male with acute abdominal pain

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You are tasked to a 29yo male with acute abdominal pain

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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