EM GastroIntestinal

EM GastroIntestinal



Abdominal Pain

Abrupt Excruciating PainRapid Onset of Severe Constant PainGradual Steady Pain
biliary colic
ureteral colic
MI
perforated ulcer
ruptured aneurysm
acute pancreatitis
mesenteric thrombosis, strangulated bowel
ectopic pregnancy
acute cholecystitis
acute cholangitis
acute hepatitis
appendicitis
acute salpingitis
diverticulitis

Appendicitis

PresentationSignsDiagnosisManagement
Psoas sign
– passive extension of the hip leading to RLQ pain

Obturator sign
– passive internal rotation of the flexed hip leading to RLQ pain
KUB
– evidence of fecalith or loss of psoas shadow

Abd CT
– periappendiceal stranding or fluid; enlarged appendix
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