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FINAL VERSION For review only. Do not cite, quote, or publish.

Medical: 5 Gastroenterology: 6

      • b.

        Physical

        • (1)

          Skin

          • (a)

            Pale

          • (b)

            Cool

          • (c)

            Moist

          • (d)

            Warm

        • (2)

          Fever

        • (3)

          Inspect abdomen

          • (a)

            Scars

          • (b)

            Ecchymosis

          • (c)

            Contour

            • i)

              Bulges

            • ii)

              Symmetry

        • (4)

          Auscultate

          • (a)

            Bowel sounds

        • (5)

          Percuss

        • (6)

          Palpate

    • 3.

      Management/ treatment plan

      • a.

        Airway and ventilatory support

        • (1)

          Oxygen

      • b.

        Circulatory support

        • (1)

          Positioning

        • (2)

          Consider fluid bolus

      • c.

        Pharmacological interventions

      • d.

        Non-pharmacological interventions

      • e.

        Psychological support

      • f.

        Transport consideration

  • H.

    Peptic ulcer disease

    • 1.

      Epidemiology

      • a.

        Incidence

      • b.

        Mortality/ morbidity

      • c.

        Risk factors

      • d.

        Prevention strategies

      • e.

        Anatomy and physiology review

      • f.

        Pathophysiology

        • (1)

          Ulcerative disorder

        • (2)

          Acid-pepsin formation

        • (3)

          Loss of protective effects

          • (a)

            Gastric mucosa

          • (b)

            Bicarbonate ions

          • (c)

            Prostoglandins

    • 2.

      Assessment findings

      • a.

        History

        • (1)

          Acute/ chronic

        • (2)

          Quality of pain

        • (3)

          Onset of pain

        • (4)

          Location of pain

        • (5)

          Last meal

        • (6)

          Nausea

        • (7)

          Stool/ melena

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────────────────────────── United States Department of Transportation National Highway Traffic Safety Administration Paramedic: National Standard Curriculum

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