abd pain

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james

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I do not work for any EMS I am in the Army and the person was one of my Soldiers, I found her in her barracks room. No ASL Available, No O2 tank, only my personal EMT bag

Age 22
female


Skin pink,warm (normal)
B/p 112/76 (virtually the same on both arms)
Pulse 61
Pupils are Equal and reactive PEARL
Breathing 18 and shallow (patent airway, Says hurts to breath )
Sp02 98%

she says the pain has been radiating from LRQ to LLQ

No vomiting or nasuea
No allergies
on meds for clamitea cant remember what one
no history of other STD had 3 abortions in 5 yrs
has not ate in 12 hours or more
suden onset of pain
brought knees up with no relief


palpate the abdomin and find no distention, no rigidity.
search the posterior find nothing on the lower back

suden onset when she was just laying in bed
she says nothing really makes it feel better or worse
Pain feels like a stabbing pain, Severe

8 out of 10 (10 being the worst pain hes ever had)
 
No other meds than medication for clamedia? I can only think of back when I was on a ride alongs there was two times that teenagers who were on aterol had stomach pains, (ritalin derivatives do that frfom time to time) Rid might be able to tell you.
 
What quadrant is the pain in? Whats her urine look like? Drugs? Alcohol?
 
I'd be thinking UTI.

But I would be investigating for rebound tenderness in LRQ, Hx of low-grade fever, and if she still has an appendix because it is really embarrassing to give a provisional diagnosis that it is appendicitis and find out it has already been removed.

I would also watch how she walks when she gets from the bed to the cot for the "pelvic shuffle". Also, any vaginal leakage? I wouldn't be surprised if this was a PID either, with the STI "clap".

Then there's the questions regarding waste: blood? color and odor? frequency? pain?
 
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Has she had sex recently? Last Menstral cycle?
 
When was the last time she passed stool? Any recent injuries? Over straining? pulled muscles in that area?
 
any fever?

Let's get to the hard questions about those abortions, done under care or a home remedy? Any complications?

And my other questions above still need answers.
 
no fever
no appendex
cant walk, too much pain
no vaginal leakage
stool normal
all abortions were done in a clinic with no complications
i have to go soon so I will let you know what realy happend soon
 
she had the clap and ovarian sists
sists ruptured resulting in extream pain when STD mixed with the ruptured

sorry about the bad spelling
 
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