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AbdominalPain

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A pregnant woman with anaemia and thrombocytopenia

A 28 year old woman who was 31 weeks pregnant attended the emergency department of our hospital with acute onset of abdominal pain in her right upper quadrant. She had undergone regular antenatal check-ups in the midwifery clinic, with no problems reported. She had no medical history of note and was not taking any drugs. She was a non-smoker and before she was pregnant she rarely drank alcohol. Her cardiovascular, respiratory, and neurological examinations were unremarkable and she had no peripheral oedema. The fetal heart sounds were normal. Her blood pressure was high (136/104 mm Hg) and her pulse was 88 beats/min. The urine protein to creatinine ratio showed no evidence of proteinuria.  
feeds.bmj.com
over 3 years ago
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11

A pregnant woman with anaemia and thrombocytopenia

A 28 year old woman who was 31 weeks pregnant attended the emergency department of our hospital with acute onset of abdominal pain in her right upper quadrant. She had undergone regular antenatal check-ups in the midwifery clinic, with no problems reported. She had no medical history of note and was not taking any drugs. She was a non-smoker and before she was pregnant she rarely drank alcohol. Her cardiovascular, respiratory, and neurological examinations were unremarkable and she had no peripheral oedema. The fetal heart sounds were normal. Her blood pressure was high (136/104 mm Hg) and her pulse was 88 beats/min. The urine protein to creatinine ratio showed no evidence of proteinuria.  
feeds.bmj.com
over 3 years ago
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9

Outcomes Following Childhood Non-Specific Abdominal Pain

Non-specific abdominal pain is a common diagnosis on discharge following admission for childhood abdominal pain. How often are these children later hospitalized with bowel pathology?  
medscape.com
over 3 years ago
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9

A man with severe abdominal pain

A 38 year old man presented to the emergency department with a 12 hour history of central and right sided severe abdominal pain. The pain had been getting gradually worse, he had vomited, and he was finding it difficult to walk. On examination he looked unwell, his temperature was …  
feeds.bmj.com
over 3 years ago
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Guidelines for Imaging: Abdominal Pain in the Pediatric and Gravid Populations - emdocs

emDocs post containing very useful emergency medicine information  
emdocs.net
over 3 years ago
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How useful is the pediatric appendicitis score in adolescent females?

You will undoubtedly see a patient with right lower quadrant abdominal pain in the near future. One of the most challenging patient populations to evaluate are adolescent females with RLQ pain. Why? Because of the ovaries of course! Their presence adds to the differential diagnosis and thus, female patients often require more testing to make the diagnosis.  
pemcincinnati.com
over 3 years ago
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8

Diclofenac Best Treatment in ED for Renal Colic: Study

The most effective sustained emergency department (ED) analgesia for renal colic is intramuscular (IM) diclofenac, not intravenous (IV) morphine, according to results from a randomized controlled trial.  
medscape.com
over 3 years ago
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8

Imaging Case of the Week 198

These erect and supine abdominal x-rays are from a 35 year old experiencing severe abdominal pain and vomiting, and with a history of ulcerative colitis. What do the x-ray images indicate?  
emergucate.com
over 3 years ago
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Emergency Medicine Literature of Note: NSAIDs Probably Best for Renal Colic

The dose of morphine is unrealistically low so I think a lot of drugs would do better. Because of that, their conclusion is unwarranted.  
emlitofnote.com
over 3 years ago
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EM Decision Making: Thoughts on Mistakes in Renal Colic - emdocs

Thoughts on mistakes in renal colic from one of the father's of Emergency Medicine  
emdocs.net
over 3 years ago
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Imaging Case of the Week 195

This erect abdominal x-ray is from a 75 year old presenting with abdominal pain and vomiting. A supine x-ray of the abdomen could not be obtained as the patient became unwell soon after the erect image was taken. What can be observed?Answer will be posted on 09/03/2016.  
emergucate.com
over 3 years ago
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The Multiple Layers of Diagnostic Uncertainty - emdocs

The young female with lower abdominal pain.  The middle-aged male with atypical chest pain.  The elderly female that presents with vague symptoms of dizziness.  These are just the tip of the iceberg of chief complaints we will see in our emergency medicine careers.  Those with symptoms that don’t fit into a particular diagnostic box or with totally clean workups can be frustrating for patients and physicians alike.  We are taught in medical school that 90% of diagnoses can be made with a very meticulous history and physical.  But, until I was asked to write on the topic of diagnostic uncertainty, I had never really thought about how infrequently we actually make a slam dunk, no doubt about it diagnosis.  
emdocs.net
over 3 years ago
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Cholangitis: Deadly Cause of Right Upper Quadrant Abdominal Pain - emdocs

Cholangitis should be considered in patients with undifferentiated sepsis. Resuscitation, antibiotics and biliary decompression are mainstays of treatment.  
emdocs.wpengine.com
over 3 years ago
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Cholangitis: Deadly Cause of Right Upper Quadrant Abdominal Pain - emdocs

Cholangitis should be considered in patients with undifferentiated sepsis. Resuscitation, antibiotics and biliary decompression are mainstays of treatment.  
emdocs.net
over 3 years ago
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Emergency Medicine Literature of Note: Let’s Replace: Droperidol; With: Olanzapine

"The most common usages for olanzapine were(SNIP) ... abdominal pain (23.1%), ....non-specific pain (8.4%)"What about carbuncles ?  
emlitofnote.com
over 3 years ago
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6

Duplication of Gallbladder and Horse-Shoe Kidney

Abdominal imaging of this 9-year-old boy with nausea, vomiting, and abdominal pain revealed a rare combination of congenital defects.  
medscape.com
over 3 years ago
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Lab Case 92 – Interpretation

Patient has features of Reynold’s pentad – Fever, Jaundice, abdominal pain, hypotension and confusion (Charcot’s triad – fever, abdominal pain and jaundice)  
emergucate.com
almost 4 years ago
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Imaging Case of the Week 190

This chest x-ray is from a 78 year old with tachycardia and abdominal pain. What can be seen on the erect AP chest x-ray?Answer will be posted on 3/2/16.  
emergucate.com
almost 4 years ago
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Abdominal pain in a 31 year old woman

A 31 year old white woman presented with recurrent abdominal pain and distention. A barium follow through examination was performed. What is the diagnosis?  
feeds.bmj.com
almost 4 years ago
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Boring Question: Fecal Leukocytes. Eh? - CanadiEM

A 25-year-old woman presents with diarrhea x 3 weeks. She has reports 6-12 loose bowel movements per day with urgency and mucous which are associated with cramping abdominal pain and a 5lb weight loss. She has not noticed any blood in her stool and reports no other extra-intestinal manifestations of inflammatory bowel disease (IBD). She has not travelled recently and drinks out of a municipal water supply. None of her contacts have similar symptoms and she has had no changes to her diet. She has no family history of IBD but does have a family history of a variety of autoimmune conditions.  She is otherwise healthy and has had no recent contact with the health care system or use of antibiotics. Her vital signs are normal, she looks well and her abdominal exam is normal.  
canadiem.org
almost 4 years ago