After questioning the patroller determines that no trauma has occurred and suggests the patient lay down for a while and rest. Further questioning indicates patient has eaten appropriately for the day, has no past medical history, takes no medication, has had no alcohol or drugs, she is sexually active, and her last menstrual cycle was late and shorter than normal, ending approximately a week ago. She has driven her own vehicle to the mountain and no one else is available to take patient to hospital.
Parents are out at a dinner party for the night and are unable to be contacted.
Message left on answering machine. Neighbor is finally contacted and advised of the situation and to keep an eye out for returning parents. Pain is intensifying and is described as sharp and knifelike in the lower abdomen. Patient is sweating, pale, and can not lay still from the pain. Bob examines the patient and recommends transport to hospital for evaluation and treatment.