Posts in GI
At The Bedside

Read the HPI and think about the questions on the title slide before watching the video. Put yourself at the bedside of this patient and form your own diagnostic and management plan. Designed to help you actually rehearse what you’re going to say and do at the bedside of a sick patient, keep tuning in each week for the same format but new and high yield Emergency Medicine pearls…

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Diverticulitis? Guess Again.

A 50-year-old female presents to the emergency department complaining of two days of gradually worsening left lower quadrant abdominal pain. She endorses anorexia and multiple episodes of vomiting. She is slightly tachycardic, but afebrile. She is noted to have tenderness to palpation to the left lower quadrant but no significant rebound or guarding. Given her presentation, diverticulitis becomes the leading differential diagnosis, although renal colic is also a possibility. For that reason a non-contrast CT scan of the abdomen/pelvis is ordered for further evaluation…

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