Hafnargata 23, 465 Bíldudalur. Single-story wooden residential building built in 1960. Main entrance is via a single front door. No elevator. Street parking available. No security features. Current conditions: 8°C, overcast, light rain, moderate visibility. GPS coordinates: 65.7268° N, 23.5398° W. Nearest landmark: Bíldudalur Harbor.
65-year-old male, experiencing severe abdominal pain. Primary symptoms: Intense, constant pain in the lower abdomen, rated 9/10 on pain scale. Patient reports nausea, sweating, and feeling faint. Secondary symptoms: Mild dizziness, no vomiting. Patient is conscious and alert, but distressed. Skin is pale and clammy. Patient is sitting on the edge of his bed. Medical history: Type 2 diabetes, hypertension, and history of kidney stones. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Atorvastatin 20mg daily. Known allergy to penicillin. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient began experiencing mild abdominal discomfort. 1430 hours: Pain intensified rapidly, becoming severe and constant. 1440 hours: Patient developed nausea and sweating. 1445 hours: Patient called emergency services. 1447 hours: Current time, patient still experiencing severe pain. Prior Events: Patient had a kidney stone episode two years ago. No recent illnesses or injuries. Last medical check-up was 6 months ago, routine follow-up. Patient lives alone.
Initial Impression: Suspected Acute Abdominal Pain of Unclear Origin, possibly Renal Colic or Bowel Obstruction. Justification for F2 Classification: - Severe pain level (9/10) indicating significant underlying pathology. - Associated symptoms of nausea, sweating, and dizziness suggest potential for deterioration. - History of kidney stones raises suspicion for renal colic, but other causes must be considered. - Time-sensitive condition requiring prompt medical evaluation and pain management. Differential Diagnoses: 1. Renal Colic (high probability given past history) 2. Bowel Obstruction (possible given severity and constant nature of pain) 3. Acute Appendicitis (less likely given location of pain) 4. Diverticulitis (possible but less likely) 5. Pancreatitis (less likely but must be considered) Required Actions: - Dispatch of ground EMS with ALS capabilities. - Pain management protocols initiation. - Preparation for transport to nearest hospital with surgical capabilities.