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  • Case of the Week - Case # 91

    48-year-old male presents with severe upper abdominal pain that was sudden in onset. The patient has no PMH although he relates a history of heavy ETOH abuse. His vitals reveal a stable BP but the patient's heart rate is in the 130's. His abdominal exam reveals exquisite tenderness with guarding in the midepigastric and RUQ regions…...
  • Case of the Week - Case # 81

    56-year-old female with ruq abdominal pain. She is non-icteric. Her vitals are stable and she is EMsono Case of the Week - Emergency Ultrasound Education afebrile. You perform a focused gallbladder ultrasound and note the following......
    Posted Jun 23 2008, 12:00 AM by Rob with | with no comments
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  • Case of the Week - Case # 79

    33-year-old male presents with RUQ abdominal pain of 36 hours duration. His vital signs are stable and he was afebrile. He was non-icteric and his exam is unremarkable except for moderate RUQ tenderness. You perform an ultrasound and note the following......
    Posted Jun 09 2008, 11:00 PM by Rob with | with no comments
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  • Case of the Week - Case # 50

    36-year-old male with hx of HIV presents with RUQ abdominal pain and jaundice. His vital signs are stable. His physical exam reveals the presence of scleral icterus and RUQ abdominal tenderness without rebound. His labs reveal elevated liver transaminases, alkaline phosphatase, and total bilirubin. You perform a bedside ultrasound and note the following......
    Posted Nov 09 2007, 04:13 PM by Rob with | with no comments
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  • Case of the Week - Case # 36

    A 26-year-old male presents with RUQ pain and jaundice. He denies hepatitis risk factors. He appears comfortable on the cart and states that the pain is "never bad". His vitals are stable and on exam the patient is icteric. His abdominal exam reveals no organomegaly and he has mild midepigastric tenderness....
    Posted Jul 19 2007, 12:15 AM by Rob with | with no comments
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  • Case of the Week - Case # 32

    A 62 year old male presents with upper abdominal pain of one hour duration. The pain began while the patient was having breakfast. He has never experienced a similar pain in the past. The patient denies any PMH but admits that he hasn’t seen a doctor in years. He admits to feeling nauseated and sweaty but denies any other complaints. On examination his vital signs were stable and his is afebrile. Abdominal examination reveals midepigastric and right upper quadrant tenderness with mild guarding but no rebound. ...
    Posted Jun 20 2007, 10:26 PM by Rob with | with no comments
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  • Case of the Week - Case # 21

    45 year-old male who is visiting from out of town presents with severe midepigastric and right upper quadrant abdominal pain. The patient has a PMH of alcohol abuse, hepatitis B and chronic pancreatitis. He tells you that his surgeon has mentioned in the past “my gallbladder isn’t right.” You perform an ultrasound of the patient’s gallbladder…...
    Posted Apr 04 2007, 12:00 AM by Rob with | with no comments
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  • Case of the Week - Case # 7

    A 34-year-old female presents with RUQ / midepigastric abdominal pain after eating dinner. She denies history of chronic abdominal problems but states this pain has been recurring with increasing frequency lately and seems to be related to eating. Her vitals are stable and her examination is only remarkable for the midepigastric and RUQ tenderness with guarding but no rebound. Her ED labs are unremarkable. You perform a focused GB exam......
    Posted Dec 13 2006, 12:06 PM by Rob with | with no comments
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