Archive

Author: Ellsworth Wright

REBEL Core Cast – Basics of EM – Back Pain

Take Home Points Ask about the red flags: cancer, fever, IVDA, FND, point tenderness, saddle/perianal anesthesia, trauma, urinary retention, bowel incontinence, weight loss Most don’t need XR’s – set this expectation and advise against bed rest Consider XR’s: h/o cancer, …

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Infectious DiseaseOrthopedicsTrauma

REBEL Core Cast – Basics of EM – Vaginal Bleeding

Take Home Points Get a upreg on any childbearing age female with vaginal bleeding – this is an ectopic pregnancy until proven otherwise Confirm vaginal vs rectal bleeding – it can be hard for patients to tell, especially the elderly …

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Obstetrics and Gynecology

REBEL Core Cast – Basics of EM – Lower Abdominal Pain

Take Home Points Get a upreg on every female patient of child bearing age with lower abdominal pain – this is an ectopic pregnancy until proven otherwise Always consider ovarian/testicular pathology for lower abdominal pain Always have a chaperone when …

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Abdominal and GastroinstestinalObstetrics and Gynecology

REBEL Core Cast – Basics of EM – Diffuse and Flank Abdominal Pain

Take Home Points Diffuse abdominal pain can be anything – keep a broad differential and work from there Old patient and flank pain = aortic catastrophe – aortic dissections and aneurysms can knock off flow to the kidneys Appendicitis and …

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Abdominal and GastroinstestinalEndocrine, Metabolic, Fluid, and ElectrolytesRenal and Genitourinary

REBEL Core Cast – Basics of EM – Epigastric Pain

Take Home Points Patients don’t necessarily know what’s important – ask lots of questions, find out if they’ve been taking a ton of NSAID’s or Tylenol for their pain and now they have an ulcer or hepatitis Keep a broad …

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Abdominal and GastroinstestinalEndocrine, Metabolic, Fluid, and ElectrolytesInfectious Disease

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