Abdominal pain and rupture of pus from known abdominal abscess part 2

Disposition

• Transport to hospital

Authors:

Mark Shelton Paramedic Woodburn Ambulance

Editors:

David M. Spiro, MD, MPH Professor of Pediatrics University of Arkansas Medical Center

Diagnosis

• Abscess

Differential Diagnosis

• Cellulitis
• Abscess (MRSA suspected)
• Diabetes

Patient Workup

• Universal precautions
• CBG = 345

Patient

• Gender: Female
• Age: 54 years
• Height: Not Available

Vitals

• Temperature: Not Available
• Heart Rate: 95
• Respiratory Rate: 20
• Pulse Oximetry: 97% RA
• Blood Pressure: 117/66

Signs and Symptoms

Rupture of pus from known abdominal abscess; abdominal pain

History Medical

• Obesity
• Abdominal hernias
• Abdominal abscesses
• Allergies to AMOX, ASA, NSAIDs
• Hypertension (HTN)
• Anxiety
• Asthma
• Diabetes
• MRSA (methicillin-resistant staph aureus)

Social

• Lives in a retirement home

Medications

• Ranitidine
• Gabapentin
• Senna
• Metoprolol
• Lisinopril
• Trazadone
• Clonidine
• Simvastatin
• Diazepam
• Ativan
• Albuterol
• Phenergan prn

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