recent articles

em@3am

EM@3AM – Diverticulitis

A 62-year-old male presents with left lower quadrant pain, which he states is "exactly like his episode of diverticulitis." His vital signs are within normal limits and his abdominal exam remarkable only for mild abdominal tenderness to palpation. How do you evaluate and treat this patient? Read this week's review of acute diverticulitis for management pearls.

em@3am

EM@3AM – Diarrhea

An 8-year-old male presents to the ED for 9 days of watery diarrhea. The patient's mother reports the onset of his symptoms following a family vacation to Mexico. Do you prescribe antibiotics? Read this week's review for helpful hints.

practice updates

The Sick Bowel Obstruction Patient

A bowel obstruction can be due to a variety of causes, and these patients can present with a wide variation in severity. These patients may appear toxic, and this post is full of pearls for the diagnosis and management of bowel obstruction.

practice updates

Cholangitis: Pearls & Pitfalls

Cholangitis is a potentially deadly disease. Before procedures including ERCP, mortality reached 100%. Rapid recognition and treatment are essential, which can decrease mortality to less than 10%. This post discusses updates in evaluation and management of the patient with cholangitis.