Browse categories and answer follow-up questions to refine your symptom profile.
Immediate priorities
Stabilization and early escalation
Airway and breathing
Hypoxemia
Increased work of breathing
Aspiration risk
Circulation
Two large bore IV
Cardiac monitoring
Point of care glucose mmol/l
Sepsis screening
Suspected infection plus organ dysfunction
Hypotension MAP < 65 mmHg
Lactate mmol/l elevated
Early antibiotics timing
If septic shock then antibiotics within 1 hour
If sepsis without shock then antibiotics within 3 hours
Early source control planning
IR and gynecology notification after imaging suspicion
OR readiness if rupture concern
Hemodynamic targets and monitoring
Perfusion goals
MAP at least 65 mmHg
If persistent hypotension after fluids then vasopressor
Urine output at least 0.5 ml/kg/hour
Foley catheter if severe illness or shock
Lactate clearance trend
Repeat lactate within 2 to 4 hours if elevated
Continuous reassessment triggers
Worsening pain with guarding
Rising lactate mmol/l
New fever or rigors
High risk phenotypes
Time critical presentations
Suspected rupture
Sudden generalized abdominal pain
Peritonitis
Hypotension
Septic shock
Altered mental status
Cold extremities
Refractory hypotension
Necrotizing pelvic infection
Severe pain out of proportion
Skin crepitus perineum
Rapid systemic toxicity
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.