Category: Gastroenterology (page 1 of 2)

Abdominal Pain PBL (Part 1)

Presentation Based Learning

  1. Age, Gender, Pertinent Medical/Surgical History, Complaint
  2. At Least 4 Descriptors
  3. Red Flags/Pertinent Positives and Negatives
  4. Vital Signs
  5. Focused Physical Exam
  6. Suspected Diagnosis
  7. Can’t Miss Diagnoses
  8. Testing Plan
  9. Treatment Plan
  10. (If Asked) Anticipated Disposition

NBME Shelf Review Part 7


Abdominal Pain (Part 2)

It’s time to stop thinking in quadrants…

Nausea and Vomiting

Nausea and vomiting has a HUGE differential diagnosis but usually ends up being simple gastritis in the end. This week we will discuss a basic approach, treatment protocol, as well as to help out your attending.

Patients with Cirrhosis

We commonly see patients with advanced liver disease in the Emergency Department and we screen all of them for 5 common complications every time.


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.


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

« Older posts

© 2019 EM Clerkship

Theme by Anders NorenUp ↑