Category: Gastroenterology

Diarrhea

Diarrhea is almost always a benign complaint, especially in well appearing patients, with stable vitals, and a lack of red flags. This week we will cover those red flags as well as some basic treatments when a  patient is complaining of bad diarrhea.

Appendicitis (Critical Diagnosis)

Everybody knows what appendicitis is (fever, migrating right lower quadrant pain, elevated WBC, pain with bumps in the road). Unfortunately, the issue is that appendicitis only sometimes presents in this classic fashion. Using history, exam, and imaging, it is always important to keep a high index of suspicion for appendicitis so that you don’t miss the diagnosis.

RUQ Pain

It is really important to use the correct terminology when presenting a patient with right upper quadrant abdominal pain to your attending. If you want a good score on your SLOE, your differential diagnosis has to contain more than just “cholecystitis”. We will cover a basic approach today with a focus on the terminology to use in your differential diagnosis.

GI Bleed

One of the most dangerous complaints in all of Emergency Medicine is the GI Bleed. Especially upper GI bleeds when patients are complaining of coffee ground emesis or black sticky poop. This week we will discuss the overall approach to anybody who comes in with a GI bleed.

Constipation

This week we are going to cover a basic approach to the constipated patient with a focus on the possible treatments for constipation.

Abdominal Pain

The most common chief complaint in Emergency Medicine is abdominal pain. Most students already have an understanding of the basic approach to this problem. We know to ask about fevers, palpate the abdomen, and give something for nausea. In this episode we will be discussing an additional 5 steps that tend to be overlooked with this chief complaint as well as some can’t miss items on your differential diagnosis. 

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