hammerpcp Posted January 18, 2008 Posted January 18, 2008 Emergency call to a 29 y/o human female, c/o abdo pain. GO!
Timmy Posted January 18, 2008 Posted January 18, 2008 Glad we’ve established the fact that the patient is human!
hammerpcp Posted January 18, 2008 Author Posted January 18, 2008 It's part of the primary assessment; ABCH.
dahlio Posted January 18, 2008 Posted January 18, 2008 Not sure if these apply to humans, but will give it a try. General Impression? ABC's? H?yes Describe Pain? Tenderness or Rigidity? What Quadrant of the abd.? When did pain start? Will go from there.
emt322632 Posted January 18, 2008 Posted January 18, 2008 Observe abdomen for ecchymosis, bowel sounds? Last bowel movement, last oral intake. History of pregnancy? Surgery? Chance of pregnancy? When was last menstrual period? Any associated vaginal bleeding? Which quadrant is pain located in? Pain upon palpation? Anything make it better or worse? Pain scale, 0-10 what is it rated? Meds? Vitals...
hammerpcp Posted January 18, 2008 Author Posted January 18, 2008 Not sure if these apply to humans, but will give it a try. General Impression? ABC's? H?yes Describe Pain? Tenderness or Rigidity? What Quadrant of the abd.? When did pain start? Will go from there. Pt is in a residence sitting at the dinning room table. She is obviously pregnant. Alert and oriented but her speech is slurred. She appears to be in no respiratory distress. Her skin is warm, flushed and moist, and she has her hand on her head. Pt tests positive for humanity. Woah there tonto! slow 'er down. I can't keep up with this e-speed-assesssment.
MedicNorth Posted January 18, 2008 Posted January 18, 2008 History of event ? Any dizziness, nausea, vomiting? Facial droop? Onset might be important here too
Cookie Posted January 18, 2008 Posted January 18, 2008 I would certainly ask which trimester the pregancy is in.
spenac Posted January 18, 2008 Posted January 18, 2008 HX of hypertension? Current vitals including B/P? Any vaginal discharge? Any vaginal pressure?
dahlio Posted January 18, 2008 Posted January 18, 2008 Weeks into pregnancy? Any previous pregnancy's? Any problems there? Definitely want to give a stroke test to rule it out, (Facial Droop, Equal Grips, Slouching to one side, Slurred Speech). Any vaginal bleeding? Vitals?
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