Search Results for: chest pain

practice updates

Cholangitis: Deadly Cause of Right Upper Quadrant Abdominal Pain

Cholangitis should be considered in patients with undifferentiated sepsis. Ruling in or out the diagnosis of cholangitis is no longer based on clinical exam alone. The addition of imaging and bloodwork to the clinical exam are much more reliable. Resuscitation, antibiotics and consultation for early biliary decompression are the mainstays of cholangitis treatment.

practice updates

Acute Chest Syndrome

Often, the dreaded complications that we are taught to look for don’t present to us in the Emergency Department, but develop and evolve during the hospitalization that began with the patient seeing us in the ED. Our skill can help the child in distress, but our vigilance can detect the evolving A...

clinical cases

Age, Abdominal Pain, and Gastroenteritis

"Weinstock describes gastroenteritis bluntly as 'the refuge of the intellectually destitute'"From the case records of Janus General Hospital, we bring you the first in our series of bouncebacks. Tommy Swanson, MD describes the initial and subsequent visits of a 61 year old female with abdominal discomfort.


EM@3AM: Rib Fractures

An 82-year-old female presents to the ED after falling down a flight of stairs. Patient reports falling onto her chest. She endorses right sided chest pain that began immediately after falling but denies any shortness of breath. Vital signs: HR 90 bpm, BP 148/100, RR of 20, T of 98.8F, and SPO2 of...