GI

This post cover keys for the evaluation and management of bowel perforation.

Pediatric Small Talk is back with the Rule of 6 for Pediatric Abdominal Emergencies.

A 32-year-old female presents to the ED with worsening diarrhea for 2 months. The diarrhea is non-bloody but is bulky, foul-smelling, and floats. She has had a 9-pound weight loss. She has ulcers along the buccal mucosa. Her abdomen is soft and nontender, and while she appears tired, the rest of the exam is normal. What is the patient’s diagnosis? 

What should you consider for the patient with severe pancreatitis?

How does splenic infarction present? What is the evaluation and management?

A 12-year-old boy with no past medical history accidentally ingested a soda can tab 2.5 hours prior to arrival. He is asymptomatic at present, feels well, and is able to tolerate secretions without difficulty. On exam, the patient is alert, acyanotic, and non-stridulous. Breath sounds are clear to auscultation bilaterally, and his abdomen is nontender. What evaluation is necessary, and what is the appropriate management?

The EM educator series covers several questions on lower GI bleeding.

This EM Educator covers esophageal perforation.

Constipation as a diagnosis can be dangerous, mainly because it is a powerful anchor in our medical decision-making.

This EM Educator looks at gastric perforation.