Hafnargata 17, 465 Bíldudalur, single-story wooden house built in 1955. Main entrance on the street side. No stairs. No security features. Street parking available. Current conditions: 8°C, overcast, moderate wind, good visibility. GPS coordinates: 65.7241° N, 23.5482° W. Nearest landmark: Bíldudalur Harbour.
68-year-old female, experiencing severe abdominal pain. Primary symptoms: Sudden onset of intense, sharp pain in the lower abdomen, radiating to the back, nausea, and sweating. Patient reports feeling dizzy and lightheaded. Secondary symptoms: Increased heart rate, pale skin. Patient is conscious but distressed. Medical history: History of kidney stones, hypertension. Medications: Lisinopril 10mg daily, Paracetamol 500mg as needed. Allergies: Sulfa drugs. Last meal was a light lunch at 13:00.
Timeline: 1430 hours: Patient reports sudden onset of severe abdominal pain while sitting in her living room 1435 hours: Patient reports pain radiating to her back, increased nausea and sweating 1440 hours: Patient attempted to take Paracetamol but pain is unrelieved 1445 hours: Patient called her daughter for help, who then called emergency services 1450 hours: Current time, patient is still experiencing severe pain and is feeling lightheaded. Prior Events: Patient has had several episodes of kidney stones in the past, last episode was 2 years ago. Patient has been generally healthy otherwise. Last check-up was 6 months ago, routine follow-up. Patient lives alone.
Initial Impression: Suspected Renal Colic/Kidney Stone Justification for F2 Classification: - Severe pain requiring prompt assessment and pain management - Potential for complications if untreated - Patient's history of kidney stones increases the likelihood of this diagnosis Differential Diagnoses: 1. Renal Colic (high probability given history and symptoms) 2. Appendicitis (less likely given location of pain) 3. Diverticulitis (less likely given no fever) 4. Aortic Aneurysm (lower probability but must be considered) Required Actions: - Dispatch of ground EMS with ALS capabilities - Pain management protocols initiation - Monitoring of vital signs and patient's level of consciousness - Preparation for transport to nearest hospital with urology services