fe 29 abd pain

[chaser]

I'll present a scenario I am curious how you all would respond or dx this. I don't have vitals but can present other info. So I for now I'll just present what you would walk into:

(scene is safe)

Fe 29 yrs

3 months preg

vomiting

cramping/abd pain

low grade fever

[Just Plain Ruff]

1. morning sickness

2. Ectopic preg

3. migraine

4. UTI

5. Miscarriage

6. low grade fever - infection unknown etiology

no diagnosis in the field, suspicions only though.

How long vomiting? I'd start a line for rehydration if you can. Get a blood sample for blood sugar.

Set of vitals of course

That's really all I'd do for the ride to the ER.

Send her a bill for 1500 for ambulance ride he he

[chaser]

vomiting x 2 days

+ on the IV

what other blood tests might be done??

for poss dx, r/o migraine, morning sickness.

UTI, eptopic or molar preg would be a consideration, or course infection- good call-

but separate the fact she is preg and look at the symptoms....

[Just Plain Ruff]

Ok take the pregnancy out

Endometriosis

PID

UTI

[chaser]

ok-

what sector is the abd pain???

[Just Plain Ruff]

I don't know what sector the pain is at. It's your scenario. You tell me?

[chaser]

Well, I thought you might ask. :wink: But LRQ and but radiating across lower quad

[Just Plain Ruff]

appendicitis then or ectopic

Either way IV and transport

Not much you can do in the ambulance for this patient - she needs intervention by a surgeon either way.

[Connie31079]

Almost sounds identical to s/s I experienced in May, 1999. (But I wasn't pregnant @ the time!)

They did exploratory surgery, found out to be ruptured appendix, which shortly thereafter, I became septic.

But they didn't know what they'd find when they went in, thought it was either ruptured appendix, ruptured ovarian cyst or ectopic pregnancy.

[PRPGfirerescuetech]

mentation? skin? (warm pink, dry, cool clammy...)