Your patient is a 44-year-old female who is alert and in mild distress. She states that she had an acute onset of sharp, right lower quadrant abdominal pain last evening while having intercourse and that the pain has not subsided. She states the pain radiates to her lower back and rates it as a 5 on a scale of 1–10. Physical examination reveals tenderness with palpation to the lower right
abdominal quadrant, and her skin is warm and dry. HR = 100, RR = 12, BP = 116/78. Her last menstrual period was three weeks ago, she had a tubal ligation ten years ago and she states she has several small fibroid tumors. Which of the following is the most likely diagnosis for this patient?
A) Ectopic pregnancy
B) Pelvic inflammatory disease
C) Mittelschmerz
D) Ruptured ovarian cyst
D
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You are dispatched to a residence where a three-year-old boy presents with a fever. His parents state that he has had diarrhea and vomiting for two days. The patient has not eaten in 24 hours. To BEST assess his peripheral perfusion status, you should evaluate:
A) fingertip sensation. B) respiratory rate. C) blood pressure. D) capillary refill.
What is the average blood volume in adult males?
a. 6-7 L c. 4-5L b. 3-4 L d. 5-6 L