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AbdominalPain

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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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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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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 – 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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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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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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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
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
over 4 years ago
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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
over 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
over 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
over 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
over 4 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
over 4 years ago
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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 4 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 4 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 4 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 4 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 4 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 4 years ago