Main menu:

Google


LLQ pain & Vomiting

SCROLL DOWN FOR ANSWERS & 1-MINUTE CONSULT

History of Present Illness:

A man in his 60s with a history of COPD presents to the ED for 5 days of non-radiating intermittent lower abdominal pain that is a bit worse on the left and 2 days of intermittent vomiting.  Both got worse today.  He doesn’t recall when his last BM was but states he usually goes every 2-3 days.  He denies any fever, bleeding or other complaints

Vital Signs & Physical Exam:

Vital signs are normal except for moderately elevated BP.  The abdomen is tender in BLQ without guarding

Initial Differential Diagnosis:

  • diverticulitis
  • SBO
  • Kidney stone

Initial Diagnostic Testing:

  • Labs: none ordered
  • Imaging: see below

QUESTIONS:

  1. What does the case image show?  
  2. What should you do next?  
  3. Want a 1-minute consult/tutorial on this case? 
  4. Want to know what happened with this patient?

SCROLL DOWN FOR ANSWERS & 1-MINUTE CONSULT

 

<<<<<<<<<<<<<<<<<<<< ADVERTISEMENT & SPACER >>>>>>>>>>>>>>>>>>>>

******************************************************************************

THE EMERGENCY MEDICINE POCKETBOOK TRIFECTA

Tarascan Emergency Department Quick Reference Guide     

                             

Get one of our publications, all designed specifically for Emergency Care Providers:

*****************************************************************************

<<<<<<<<<<<<<<<<<<<<<<<<< END SPACER >>>>>>>>>>>>>>>>>>>>>>>>>

ANSWERS:

  1. What does the case image show?  The image shows an 8 cm leaking AAA.
  2. What should you do next? Type and cross, consult IR and vascular surgery
  3. Want a 1-minute consult/tutorial on this case?  See yellow area from sample page below.
  4. Want to know what happened with this patient?  See case conclusion below tutorial page.

1-Minute EM Consult on the topic for this case from the Emergency Medicine 1-minute Consult Pocketbook

CLICK HERE TO LEAR MORE ABOUT THIS BOOK

CASE CONCLUSION: Went to IR for repair.  Did well.

:
Google
 
Web www.edinsight.com