A 19-year-old college student has had a sore throat, mild abdominal pain, and fever for 5 days. He was playing football with some friends, and was tackled just short of the goal line, hitting the grass somewhat forcibly. He experiences some abdominal pain, and passes out. The EMS (emergency medical services) is called and his vital signs reveal the heart rate as 140 beats per minute and blood pressure as 80/40 mm Hg with a distended abdomen. Which of the following is the most likely etiology? A. Vasovagal reaction B. Ruptured aortic aneurysm C. Complications of Epstein-Barr infection D. Ruptured jejunum
There should examined abdominal sounds as well for further information .... I'm going to c
I am not supportive of betting on diagnosing. I am fine with differential but too far. I would like to know if he does drugs or alcohol? Tachycardiac and hypotensive signs of shock! Fever and shock = possible sepsis Abdominal pain and shock= possible rupture aortic or renal aneurysm Sore throat and shock= severe complications of virus! Needs to be determined at hospital! EMT here-