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AbdominalPain

Category

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23

Back Pain

Ultra-short presentation on abdominal pain. The presentation is only a overview rather than a comprehensive presentation of all the causes of back pain.  
Debkumar Chowdhury
over 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
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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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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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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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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
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11

SGEM#97: Hippy Hippy Shake – Ultrasound Vs. CT Scan for Diagnosing Renal Colic

Guest Skeptic: Dr. Tony Seupaul and Dr. Spencer Wright. Tony is the Chairman of the Department of Emergency Medicine, University of Arkansas.  
thesgem.com
over 4 years ago
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20

SGEM#71: Like a Rolling Kidney Stone (A Systematic Review of Renal Colic)

Classic Guest Skeptics: Dr. Anthony (Tony) Seupaul Chairman of the Department of Emergency Medicine, University of Arkansas for Medical Sciences and Dr. Joshua Hughes one of his star residents.  
thesgem.com
over 4 years ago
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10

SGEM#32: Stone Me (Fluids and Diuretics for Renal Colic)

Case Scenario: A 46yo man presents to the emergency department doing the renal colic shuffle (not the Harlem Shake). He has a history of kidney stones. Nothing in his physical examination or investigations suggest anything other than another renal colic attack. He wants to know if there is a way to flush the stone out.  
thesgem.com
over 4 years ago
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19

Podcast #12: Oh Dance-a-tron (Ondansetron for Pediatric Vomiting)

Dehydration in children is a common presentation to the emergency department. A main cause of dehydration in this age group is gastroenteritis which is charaterized by acute onset diarrhea with or without nausea, vomiting, fever and abdominal pain. The scope of the problem was quantified by Glass in 1991. This study showed the following:  
thesgem.com
over 4 years ago
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8

Podcast#4: Getting Un-Stoned (Renal Colic and Alpha Blockers)

Vincendeau et al. Tamsulosin Hydrochloride vs Placebo for Management of Distal Ureteral Stones. Arch Intern Med. 2010;170(22):2021­2027 PMID: 21149761  
thesgem.com
over 4 years ago