Question

13 year-old- SK presents to a care unit with wheezing and moderate SOB. Uses an Albuterol Inhaler, but Inhaler is not providing any relief. Patient is anxious, teary eyed, c/o pain 6/10 to ABD LLQ. Concerned about nurse revealing that she is sexually active to mother that works all the time and shows very little attention to the patient. Patient reports that her sexual partner is 6 years older than she is and he usually wears a condom but 2 days ago he did not wear a condom. VS: 99.8F- 114-16-100/62-90% on RA.

Answer 1

vital signs, temperature is is slightly elevated and patient is tachycardia with 114, and respiratory rate is normal - 16 and blood pressure is low patient is hypotensive BP is 100/62 and saturation is slightly low which is 90%

patient is also complaints of Shortness of breathing with wheezing, anxious with teary eyes and complaining of moderate pain in left lower quadrant of abdomen which 6/10 on pain rating scale

according to all these data we have to conduct Head to toe physical examination and complete history

patient is hypotensive with tachycardia and left lower quadrant pain which is suggesting that internal bleeding or hemorrhage can occur but same time patient also have anxious and teary eyes which is also suggesting that patients have allergic reactions to albuterol

in this question patient also telling us that she is sexually active and have sex without condom these finding ( LLQ pain and Elevated temperature) also suggest that patient can be suffering from pelvic inflammatory disease or STI