Another case: Abdominal pain

[Sacamuelas]

Going to work this one a little differently than in the past threads. Instead of starting it off by giving you most of the (O) information up front, you are going to have to ask for the info from "either the patient" to fill in your (S) portion or by listing what you would do (exam) to get the results for your (O) information. After all, patients in the real world don't come up to you with all the necessary info to Dx their condition written on a napkin. You have to figure it out by history, thorough physical exam, and sometimes future labs/other advanced techniques.

Scenario:
You are performing an UW mission. You are the only medical expert available for at least 48 hours if not longer.
Your Team Sergeant comes to you three hours after breakfast (it was a MRE).

-S- 36 yr old, WM, CC: " recently very nauseous and have severe/sharp stomach pain all of the sudden" Pt reports no Hx of trauma in the past week.

-O- Vitals WNL,PERRLA



Anyone with a serious response is encouraged to post. Even WAG's can be a learning experience if a short explanation of why one thinks it was the answer is included for further discussion.

Let’s work this patient-
Questions to ask the patient? Any objective info that you want, just ask or list what/where/how you would do the exam to get the results and they will be given.