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Nix4Pres Nix4Pres
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Posts: 5446
8 years ago
Your patient is an 18-year-old female who is alert and in moderate distress, complaining of abdominal pain and lightheadedness She describes a 4-week history of worsening abdominal pain with onset of malaise, nausea, vomiting, and chills this week and fever yesterday. Today, she is experiencing faintness and near-syncope with exertion. Her last menstrual period was 2 weeks ago. She is sexually active and uses oral contraceptives. Physical examination reveals marked tenderness and guarding with palpation of her abdomen. Her skin is cool and diaphoretic. HR = 121, BP = 90/58, RR = 18. Which of the following is the most likely diagnosis and the most appropriate treatment for this patient?
A) Pelvic inflammatory disease. BLS transport to ED.
B) Ectopic pregnancy. Treat with oxygen, IV of normal saline, transport.
C) Pelvic inflammatory disease. Treat with oxygen, IV of normal saline, transport.
D) Sepsis secondary to pelvic inflammatory disease. Treat with oxygen, IV of normal saline, transport.
Textbook 
Essentials of Paramedic Care Update

Essentials of Paramedic Care Update


Edition: 2nd
Authors:
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feijoafeijoa
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8 years ago
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Nix4Pres Author
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8 years ago
White Heavy Checkmark Marking this solved
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8 years ago
I'll do my best to answer the others now, see you around
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