Over the next few hours, the patient was given a variety of explanations for the bleeding. While the procedure allowed the man to void, considerable bleeding ensued. At 9:00 am, when the LPN catheterized him, additional problems developed. By Monday morning, his bladder was distended and he was in considerable pain. The patient was unable to void after surgery.
Following surgery, the patient was reassured that “everything went fine” and he would probably be discharged in a day or so. The scan indicated a ruptured appendix and surgery was performed at 8:00 PM. As a result, the patient waited in the ER until 6:30 PM when the CT scan could be performed. However, the ER was busy and the CT was heavily scheduled. In order to confirm the diagnosis, the attending physician ordered a CT scan.
The physical examination and blood work suggested appendicitis. He had been experiencing the pain since the previous evening. On a Sunday morning at 11:30 AM, a 60-year old man presented at the ER with severe abdominal pain. Patient Safety in Rural Settings Ruptured Appendix CASE: A 60-year old man presents in the ER with severe abdominal pain.
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