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AbdominalPain

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To Receive or Not to Receive Analgesics in the ED

Patients seeking emergency care for abdominal pain may still experience poor pain management. . .  
medscape.com
almost 5 years ago
Canadiem logo leaf only
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medical-concept-abdominal-pain-labs

Undifferentiated abdominal pain is a presentation where the history and physical exam are absolutely crucial, and laboratory tests are confirmatory.  
boringem.org
almost 5 years ago
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Azathioprine or 6-mercaptopurine for maintenance of remission in Crohn's disease | Cochrane

What is Crohn's disease? Crohn's disease is a long-term chronic inflammatory bowel disease that can affect any part of the gastrointestinal tract from mouth to anus. Symptoms include abdominal pain, non-bloody diarrhea and weight loss. When people with Crohn's disease are experiencing symptoms of the disease it is said to be ‘active’; periods when the symptoms stop are called ‘remission’.  
cochrane.org
almost 5 years ago
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Oral budesonide for treatment of people with active ulcerative colitis | Cochrane

Ulcerative colitis is a debilitating long-term (chronic), inflammatory bowel disease that affects the large bowel. When people with ulcerative colitis are experiencing symptoms which may include bleeding, diarrhoea and abdominal pain, the disease is said to be 'active'; periods when the symptoms stop are called 'remission'. A common initial treatment of ulcerative colitis is oral steroid therapy. Unfortunately, conventional steroids are usually absorbed into the body and cause significant unwanted side-effects. These may include but are not limited to weight gain, diabetes, growth retardation, acne, mood instability, and high blood pressure.  
cochrane.org
almost 5 years ago
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Imaging Case of the Week 176

The following supine abdominal x-ray is from an 85 year old with advanced dementia complaining of vague abdominal pain. What can be seen?  
emergucate.com
almost 5 years ago
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Lab Case 75 – Interpretation

A 10 year old obese female with abdominal pain, who is unwell requiring resuscitation. She is hypotensive, tachycardic and hypothermic suggesting severe sepsis.  
emergucate.com
almost 5 years ago
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Boy With Abdominal Pain, Rash, Proteinuria and Microhematuria: Diagnosis?

A boy has cramp-like abdominal pain and a rash on the back of his legs, buttocks, as well as on the extensor surfaces of his forearms. Laboratory analysis reveals proteinuria and microhematuria. What is his likely diagnosis?  
medscape.com
almost 5 years ago
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Lab Case 75

A 10 year old girl presents to your ED with a 1 day history of generalised abdominal pain and nausea. On examination she looks unwell and has generalised abdominal tenderness and guarding.  
emergucate.com
almost 5 years ago
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Even a worm can turn

A previously fit and well 24 year old US born white man presented for evaluation of abdominal pain. He had felt tired for the past two days and had been experiencing headaches, subjective fevers, and diffuse abdominal pain. Despite this he had maintained a good appetite and his normal diet, which included eating sushi at least once a week. His symptoms improved greatly after he noted a tape-like object in his stool. He had travelled to California, …  
feeds.bmj.com
almost 5 years ago
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Even a worm can turn

A previously fit and well 24 year old US born white man presented for evaluation of abdominal pain. He had felt tired for the past two days and had been experiencing headaches, subjective fevers, and diffuse abdominal pain. Despite this he had maintained a good appetite and his normal diet, which included eating sushi at least once a week. His symptoms improved greatly after he noted a tape-like object in his stool. He had travelled to California, …  
feeds.bmj.com
almost 5 years ago
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A premenopausal woman with abdominal discomfort and iron deficiency anaemia

A 48 year old premenopausal woman presented to our clinic with a 12 month history of intermittent abdominal discomfort associated with bloating, constipation, and weight loss of 6.3 kg. Her medical history included chronic iron deficiency anaemia, vitamin D deficiency, and episodes of fresh rectal bleeding caused by haemorrhoids, which required sclerotherapy. She had undergone a diagnostic laparoscopy for abdominal pains, which did not detect any abnormalities. There was no family history of colorectal cancer. On examination she looked well, weighed 50 kg, with a body mass index of 20. Her abdomen was soft, non-tender, and without palpable masses. The results of a digital rectal examination were normal. Routine blood tests showed iron deficiency anaemia, with haemoglobin 109 g/L (reference range 117-155), mean corpuscular volume 80.6 fL (80-100), mean corpuscular haemoglobin 27.3 pg/cell (27-33), and ferritin 4 ng/mL (10-232)  
feeds.bmj.com
almost 5 years ago
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A premenopausal woman with abdominal discomfort and iron deficiency anaemia

A 48 year old premenopausal woman presented to our clinic with a 12 month history of intermittent abdominal discomfort associated with bloating, constipation, and weight loss of 6.3 kg. Her medical history included chronic iron deficiency anaemia, vitamin D deficiency, and episodes of fresh rectal bleeding caused by haemorrhoids, which required sclerotherapy. She had undergone a diagnostic laparoscopy for abdominal pains, which did not detect any abnormalities. There was no family history of colorectal cancer. On examination she looked well, weighed 50 kg, with a body mass index of 20. Her abdomen was soft, non-tender, and without palpable masses. The results of a digital rectal examination were normal. Routine blood tests showed iron deficiency anaemia, with haemoglobin 109 g/L (reference range 117-155), mean corpuscular volume 80.6 fL (80-100), mean corpuscular haemoglobin 27.3 pg/cell (27-33), and ferritin 4 ng/mL (10-232)  
feeds.bmj.com
almost 5 years ago
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A premenopausal woman with abdominal discomfort and iron deficiency anaemia

A 48 year old premenopausal woman presented to our clinic with a 12 month history of intermittent abdominal discomfort associated with bloating, constipation, and weight loss of 6.3 kg. Her medical history included chronic iron deficiency anaemia, vitamin D deficiency, and episodes of fresh rectal bleeding caused by haemorrhoids, which required sclerotherapy. She had undergone a diagnostic laparoscopy for abdominal pains, which did not detect any abnormalities. There was no family history of colorectal cancer. On examination she looked well, weighed 50 kg, with a body mass index of 20. Her abdomen was soft, non-tender, and without palpable masses. The results of a digital rectal examination were normal. Routine blood tests showed iron deficiency anaemia, with haemoglobin 109 g/L (reference range 117-155), mean corpuscular volume 80.6 fL (80-100), mean corpuscular haemoglobin 27.3 pg/cell (27-33), and ferritin 4 ng/mL (10-232)  
feeds.bmj.com
almost 5 years ago
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Citrate salts for preventing and treating calcium containing kidney stones in adults | Cochrane

Kidney stones are one of the most common disorders of the urinary tract. They typically affect people aged 40 to 60 years of age and are twice as common in men than women although recent data suggest the risks are more equal. Calcium stones are the most common type of kidney stone and occur in two major forms: calcium oxalate and calcium phosphate. Kidney stones can cause severe abdominal pain and may require urgent treatment; they are one of the main causes of unscheduled admissions in urological practice.  
cochrane.org
almost 5 years ago
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Imaging Case of the Week 173

The following abdominal x-rays are from a 60 year old with abdominal pain and distension. What two radiological signs can be seen?  
emergucate.com
almost 5 years ago
Static.www.bmj
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Characteristic sign of a colonic submucosal lesion

A 58 year old woman presented with lower abdominal pain, constipation for three months, and intermittent small bleeds per rectum. She had no abdominal distension, vomiting, weight loss, or family history of colonic cancer. She had hypertension and type 2 diabetes and was taking regular drugs. Blood test results were unremarkable. Ultrasound imaging of her abdomen was normal. …  
feeds.bmj.com
almost 5 years ago
Static.www.bmj
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Characteristic sign of a colonic submucosal lesion

A 58 year old woman presented with lower abdominal pain, constipation for three months, and intermittent small bleeds per rectum. She had no abdominal distension, vomiting, weight loss, or family history of colonic cancer. She had hypertension and type 2 diabetes and was taking regular drugs. Blood test results were unremarkable. Ultrasound imaging of her abdomen was normal. …  
feeds.bmj.com
almost 5 years ago
Static.www.bmj
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Characteristic sign of a colonic submucosal lesion

A 58 year old woman presented with lower abdominal pain, constipation for three months, and intermittent small bleeds per rectum. She had no abdominal distension, vomiting, weight loss, or family history of colonic cancer. She had hypertension and type 2 diabetes and was taking regular drugs. Blood test results were unremarkable. Ultrasound imaging of her abdomen was normal. …  
feeds.bmj.com
almost 5 years ago
Static.www.bmj
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Characteristic sign of a colonic submucosal lesion

A 58 year old woman presented with lower abdominal pain, constipation for three months, and intermittent small bleeds per rectum. She had no abdominal distension, vomiting, weight loss, or family history of colonic cancer. She had hypertension and type 2 diabetes and was taking regular drugs. Blood test results were unremarkable. Ultrasound imaging of her abdomen was normal. …  
feeds.bmj.com
almost 5 years ago
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Emergency Medicine Literature of Note: A Very Odd Look at CT In the ED

Interesting summary, thanks. Although bouncebacks were not prevented, I'm curious whether CTs impacted how patients were treated on their return. For example, were they appropriately or inappropriately stratified into low risk ("3rd visit for abdominal pain after a negative CT...")?  
emlitofnote.com
almost 5 years ago