Accepted Answer

Dr. Steve:hi Don--this is dr. steve
Dr. Steve:welcome to JA Chat.
Dale Atchley:hello doctor
Dr. Steve:sorry to hear re: daughter
Dale Atchley:im ex military medic
Dr. Steve:what time did all the symptoms start?
Dale Atchley:not much use
Dr. Steve:i c
Dale Atchley:about 1 and 1/2 days ago
Dr. Steve:i'm in the USAF Reserves
Dr. Steve:are sx worsening?
Dale Atchley:old green beret
Dr. Steve:ic
Dale Atchley:SGM retired
Dale Atchley:thanks for the help
Dr. Steve:yw
Dr. Steve:how severe is her abd pn?
Dale Atchley:yes she states she needs some relief w/ abd pain/is worsening
Dr. Steve:how many times vomited today?
Dale Atchley:moving is troubling
Dale Atchley:1 time and stopped eating
Dr. Steve:does her belly feel rigid/tense?
Dale Atchley:yes
Dr. Steve:or distended?
Dale Atchley:tense
Dr. Steve:that is very troubling...sign of acute abdomen
Dale Atchley:some discomfort when apply press
Dr. Steve:could be a perforated stomach/ulcer, or perf'd bowel
Dale Atchley:mmmm
Dale Atchley:ok
Dale Atchley:er?
Dr. Steve:u'd better take her to an ER
Dr. Steve:for urgent eval
Dale Atchley:ok ty
Dr. Steve:exam plus upright/lying abd xrays should conf. the DX
Dale Atchley:def not appx as left side/correct?
Dr. Steve:correct--def. not
Dr. Steve:more likely something w/ stomach, spleen, or pancreas
Dale Atchley:about 2 fingers below last rib andf mid left
Dr. Steve:like pancreatitis
Dale Atchley:mm
Dale Atchley:ok
Dale Atchley:will go
Dr. Steve:my bet is on acute bleeding peptic ulcer
Dr. Steve:or perf'd ulcer
Dale Atchley:been pushing 7 up and water
Dale Atchley:some slight sensation on urinate
Dr. Steve:if she were my daughter--i'd go right to er
Dale Atchley:right u r
Dale Atchley:gone
Dale Atchley:thanks
Dr. Steve:xrays plus CT scan
Dr. Steve:yw
Dale Atchley:good luck fly boy !!!!
Dale Atchley:hahahah
Dr. Steve:my prayers 4 her
Dale Atchley:gone
Dr. Steve:ty
Dale Atchley:done?