Your patient is an 18-year-old woman who is alert and in moderate distress, complaining of abdominal pain and light-headedness. She describes a four-week history of worsening unilateral lower quadrant abdominal pain with onset of malaise, nausea, and vomiting this week. Today, she is experiencing faintness and near-syncope with exertion. She denies pain or difficulty with urination. Her last
menstrual period was two 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. Her vital signs are: heart rate 121, blood pressure 90/58 mmHg, respirations 18. The patient's presentation is most consistent with:
A) ectopic pregnancy.
B) pelvic inflammatory disease.
C) spontaneous abortion.
D) pyelonephritis.
A
You might also like to view...
Answer the following statement(s) true (T) or false (F)
1. Many cultures believe that some illnesses are caused by hot or cold forces in the body. 2. When addressing elderly patients, it is acceptable to use their first name or use terms such as "dear" or "hon." 3. It is better to dismiss the emotions of children than to recognize and accept their fear and anxiety. 4. Tell a child that a procedure will not hurt, even though it will. 5. Good customer service is founded on providing or researching services that can assist in the goal of patient health and well-being.
Government seeks to contain costs and protect the "public's ______."
Fill in the blank(s) with the appropriate word(s).
Which of the following is a type of preventative care?
A. Mammography B. Appendectomy C. Tonsillectomy D. Chemotherapy
A person with hyperglycemia exhibits increased ____.
A. sweat and hyperactivity B. hunger and constipation C. thirst and urination D. pulse rate and blood pressure