• Scene – EKG, IV, BG, TT,vitals
• En route – vitals
• Pt was transported to hospital
• Elliot Williams, Paramedic Woodburn Ambulance
• David M. Spiro, MD, MPH Professor of Pediatrics University of Arkansas Medical Center
• Fever
• Lower tract UTI
• Pyelonephritis
• Stent infection
• Sepsis
• Kidney stone (nephrolithiasis)
• Ureteral stone
• Patient states – pt had ureteral stent placed a few weeks prior. She will have kidney stones removed with a laser next month.
• She has had discomfort since the stent was placed and thinks she may have an infection
• Pt has been taking ibuprofen throughout the night for fever
• Fever, tachycardia
• CBG – 15
• EKG – ST
This patient’s recent history of urologic surgery may prove key to her diagnosis. UTIs can be acute or chronic. Pain can be significant. Managing pain en route is key, with frequent pain assessments. The patient’s tachycardia may be related to pain and/or fever.
-Dr. David Spiro
• Gender: Female
• Age: 51 years
• Height: N/A
• Weight: N/A
• Temperature: 102.1 F/38.9 C
• Blood Pressure: 125/61
• Heart Rate: 106
• Respiratory Rate: 16
• Pulse Oximetry: 98% RA
Fever since last night; discomfort to vaginal area with some small blood clots when wiping.
• PHM: Gallbladder removed, sleep apnea
• Allergies: Green dye
• Dispatch info: C/B/A with high fever
• Lives alone in an apartment
• Tolterodine, Tamsulosin, Zofran, Buspirone, Trazadone, Ampheta, Wellbutrin, Oxycodone, Vyvanse, Melatonin
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