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AbdominalPain

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25

An unexpected finding after a fall from a horse

A 37 year old jockey was admitted with left sided abdominal pain and fullness one week after a fall from a horse. Before this he had been fit and well. On examination, he was tender in the left upper outer quadrant of his abdomen and his blood pressure was 90/55 mm Hg. A computed tomography scan showed an area of active bleeding in the parenchyma of the spleen and a large subcapsular haematoma.  
bmj.com
over 4 years ago
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1
59

Obstructive jaundice and pancreatic disease

A 72 year old man was admitted under the surgical team with a short history of upper abdominal pain associated with vomiting, pruritis, pale stools, and dark urine. Four days earlier he had presented to his general practitioner with a four week history of polydipsia and polyuria. His fasting blood glucose concentration was raised. He was clinically diagnosed with new onset type 2 diabetes and given dietary advice. He drank alcohol occasionally and was a smoker with a history of chronic obstructive pulmonary disease and cystectomy for transitional cell carcinoma of the bladder 10 years previously.  
bmj.com
over 4 years ago
9
1
34

Surgery Mock MCQ

An obese 63 year old lady presents with jaundice. There is no history of abdominal pain. Examination of her abdomen reveals a palpable gall bladder. There is evidence of extensive pruritis. She tells you she drinks 42 units of alcohol a week. Her blood results are as follows: Albumin 32 (35-50) Alk Phos 456 (<110) ALT 88 (<40) Bilirubin 120 (<20) INR 1.6 GGT 400 (0-70) What’s the most likely diagnosis? a. Gallstones b. Paracetamol Overdose c. Pancreatic cancer d. Alcoholic Hepatitis e. Primary billiary cirrhosis  
Af Del
almost 6 years ago
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30

Recognition of Common Childhood Malignancies - American Family Physician

Although cancer has an annual incidence of only about 150 new cases per 1 million U.S. children, it is the second leading cause of childhood deaths. Early detection and prompt therapy have the potential to reduce mortality. Leukemias, lymphomas and central nervous system tumors account for more than one half of new cancer cases in children. Early in the disease, leukemia may cause nonspecific symptoms similar to those of a viral infection. Leukemia should be suspected if persistent vague symptoms are accompanied by evidence of abnormal bleeding, bone pain, lymphadenopathy or hepatosplenomegaly. The presenting symptoms of a brain tumor may include elevated intracranial pressure, nerve abnormalities and seizures. A spinal tumor often presents with signs and symptoms of spinal cord compression. In children, lymphoma may present as one or more painless masses, often in the neck, accompanied by signs and symptoms resulting from local compression, as well as signs and symptoms of systemic disturbances, such as fever and weight loss. A neuroblastoma may arise from sympathetic nervous tissue anywhere in the body, but this tumor most often develops in the abdomen. The presentation depends on the local effects of the solid tumor and any metastases. An abdominal mass in a child may also be due to Wilms' tumor. This neoplasm may present with renal signs and symptoms, such as hypertension, hematuria and abdominal pain. A tumor of the musculoskeletal system is often first detected when trauma appears to cause pain and dysfunction out of proportion to the injury. Primary care physicians should be alert for possible presenting signs and symptoms of childhood malignancy, particularly in patients with Down syndrome or other congenital and familial conditions associated with an increased risk of cancer.  
aafp.org
over 4 years ago
5c99e05daddc3236a7babdf20470e79544124ab6815980014389844
1
76

Acute Abdomen

Helped me see it as a whole, thought it might help you too:)  
Katerina Efstathiou
over 4 years ago
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9

The impact of biological interventions for ulcerative colitis on health-related quality of life | Cochrane

Ulcerative colitis (UC) is a chronic inflammatory bowel disease characterized by abdominal pain, urgent bowel movements and bloody diarrhea. Treatment of UC focuses on induction of remission (treatment of symptoms of active disease) and prevention of clinical relapse (resumption of symptoms of active disease) in patients in remission (known as maintenance therapy). UC has a major impact on patients' health related quality of life (HRQL). HRQL refers to a person's physical functioning, social and emotional well-being, ability to work and freedom from disease symptoms. HRQL is significantly lower in patients with UC compared to the general population. Randomized controlled trials (RCTs) evaluating medical interventions for UC have traditionally used clinical disease activity indices which focus on subjective symptoms to define primary outcomes such as clinical remission or improvement. This focus on disease symptoms results in a failure to assess other important indicators of successful treatment such as HRQL.  
cochrane.org
about 4 years ago
Www.bmj
0
12

An unexpected finding after a fall from a horse

A 37 year old jockey was admitted with left sided abdominal pain and fullness one week after a fall from a horse. Before this he had been fit and well. On examination, he was tender in the left upper outer quadrant of his abdomen and his blood pressure was 90/55 mm Hg. A computed tomography scan showed an area of active bleeding in the parenchyma of the spleen and a large subcapsular haematoma.  
feeds.bmj.com
over 4 years ago
Preview
0
34

Obstructive jaundice and pancreatic disease

A 72 year old man was admitted under the surgical team with a short history of upper abdominal pain associated with vomiting, pruritis, pale stools, and dark urine. Four days earlier he had presented to his general practitioner with a four week history of polydipsia and polyuria. His fasting blood glucose concentration was raised. He was clinically diagnosed with new onset type 2 diabetes and given dietary advice. He drank alcohol occasionally and was a smoker with a history of chronic obstructive pulmonary disease and cystectomy for transitional cell carcinoma of the bladder 10 years previously.  
feeds.bmj.com
over 4 years ago
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0
65

Quick pediatrics: Causes for acute abdominal pain in more than 2 years old

Prepare for USMLE,UK,CANADIAN,AUSTRALIAN, NURSING & OTHER MEDICAL BOARD examinations around the globe with us.Understand the basics, concepts and how to answ...  
youtube.com
over 4 years ago
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0
58

Quick pediatrics: Causes for acute abdominal pain in less than 2 years old

Prepare for USMLE,UK,CANADIAN,AUSTRALIAN, NURSING & OTHER MEDICAL BOARD examinations around the globe with us.Understand the basics, concepts and how to answ...  
youtube.com
over 4 years ago
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0
8

New tool to diagnose Ebola uncovers some surprises

Abdominal pain, fever and unexplained bleeding - which are commonly believed to indicate infection with the Ebola virus -- are not significantly predictive of the disease, according to the...  
medicalnewstoday.com
over 4 years ago
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13

Chronic bowel inflammation is diagnosed too late in children and adolescents

Cramping abdominal pains, diarrhea, bloody stools--these are common symptoms of chronic inflammatory bowel disease.  
medicalnewstoday.com
over 4 years ago
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8

Children with IBS have higher prevalence of celiac disease

Researchers have found that, compared with other types of abdominal pain, IBS in children is linked with a much higher prevalence of celiac disease, a heritable condition.  
medicalnewstoday.com
over 4 years ago
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9

Lab tests and ultrasounds identify children who need surgical treatment for appendicitis

Data from two standard diagnostic tests commonly obtained in children evaluated for abdominal pain - when combined - can improve the ability of emergency department physicians and pediatric...  
medicalnewstoday.com
over 4 years ago
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46

UOTW #41 – Ultrasound of the Week

A 24 y/o female presents with c/o vaginal spotting and severe abdominal pain. LMP 2 months ago. BP 82/40. You lie the patient supine and are unable to visualize the uterus, but obtain this clip instead. What’s your next step?  
ultrasoundoftheweek.com
over 4 years ago
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32

Mesenteric Ischemia & Pancreatitis

4 diagnoses comprise Mesenteric Ischemia, value of serum lactate, difficult post-ERCP abdominal pain patient, Pancreatitis BISAP score, amylase vs lipase  
emergencymedicinecases.com
over 4 years ago
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80

Make the Diagnosis: Abdominal pain, racing heart

<p><b>Case Study:</b> A patient presents to the emergency department with severe abdominal pain, tachycardia, and an elevated serum lactate level. At laparotomy, a segment of ischemic bowel is discov  
medpagetoday.com
over 4 years ago
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12

Ultrasound Leadership Academy: Ultrasound for Renal Colic

New evidence from a recent NEJM article, evaluating US vs CT for initial work up of suspected renal colic, found no difference in adverse outcomes. This suggests that a more conservative imaging strategy, beginning with renal ultrasound, may be the right place to start. Learn how here.   
emcurious.com
over 4 years ago
Sinaiem dark
0
18

lump-in-my-throat

A 19-year-old-male with no known past medical history, presents in progressive respiratory distress shortly after undergoing a tooth extraction about 6 hours prior to presentation. Symptoms began initially as “a lump in his throat” and difficulty swallowing, but eventually progressed to mild dyspnea after 1-2 hours. Denies FB or allergies. On arrival he appears anxious and is breathing at 18 breaths per minute with an O2 saturation of 100%. There is no stridor at presentation. There is no intra-oral, facial, or obvious neck swelling. There is no skin involvement or abdominal pain, nausea, vomiting or diarrhea. You suspect allergic reaction and give IM epi, IV steroids, benadryl and pepcid. ENT is consulted for scope.  
sinaiem.org
over 4 years ago
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15

A young woman with recurrent perianal sepsis

A 23 year old woman had been experiencing cramping abdominal pain, alternating diarrhoea and constipation, and episodic blood per rectum for four months. An earlier colonoscopy showed proctitis, which was thought to be indicative of underlying inflammatory bowel disease, and she was started on oral and topical mesalazine. In the following months she was admitted twice with acute perianal sepsis, which required examinations under anaesthesia and drainage of an intersphincteric abscess. She later presented after feeling generally unwell for four days with “flu-like” symptoms and perianal pain. On examination she had tenderness and fluctuance in the region of the right ischial tuberosity, with an external fistula opening visibly in the perineum. Her blood tests show mild neutrophilia (9.40×109/L, reference range 2-7.5) and mildly raised C reactive protein (380.96 nmol/L (40 mg/L), 0-95.24 (0-10) only.  
feeds.bmj.com
over 4 years ago