Title: Case Study 10-4 Immunologic Emergencies
Course: EMS 1119 Emergency Medical Technician > Section: Module X Medicine

The patient, a 60-year-old male, is lying on the couch complaining of abdominal pain. He says the pain started about four days ago, and describes it as “crampy,” non-radiating, non-reproduceable and 3 on a scale of 0–10. The patient has no other complaints. He has a past medical history of hypertension, lupus and diverticulosis, for which he is prescribed Adalat (nifedipine), prednisone and Imuran (azathioprine). A physical exam reveals slight pain with palpation to the patient’s upper left quadrant and a temperature of 99.2°F. The patient’s vital signs are stable and within normal limits. Worth 15 points.

1. Based on the patients CC, HPI and current assessment, what is your response to the following: “Thanks for coming out here, but I just have a stomach bug and certainly do not need to go to the hospital.”
2. What specific assessment parameter is most concerning to you? Why?
3. What is difference between “T” cells and “B”cells?
4. List your priority field treatments for this patient.