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AbdominalPain

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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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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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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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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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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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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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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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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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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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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