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Medical Category: Abdominal and Gastrointestinal

Lower GI bleeding CTA decision graphic showing a CT scanner with the text: Who needs a CTA? Unstable, active bleeding, bleeding within 4 hours.

Clinical Conundrum — Lower GI Bleeding: Who Needs a CTA?

CTA is the preferred initial test for unstable patients with suspected active lower GI bleeding, but it should not be routinely ordered in all cases. Here’s how to decide who actually benefits.

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Abdominal and Gastrointestinal

MDCalc Wars – The Rise of BISAP: Is Ranson Retiring?

Predicting severity in acute pancreatitis matters — it guides where patients go, how closely we watch them, and how aggressively we manage fluids and complications. Two of the most commonly used tools are Ranson’s Criteria and the BISAP Score.

Ranson’s offers ...

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Abdominal and Gastrointestinal

Rosh Review EM Scholar Monthly Question

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Abdominal and GastrointestinalRenal and Genitourinary

POCUS in the ED: Is Confirmatory RUQ US Still Necessary?

Background: Point of care ultrasound (POCUS) has a demonstrated sensitivity of 89.8% and specificity of 88.0% for identification of cholelithiasis and has a proven negative predictive value for ruling out other acute biliary pathology such as acute cholecystitis.1  It is ...

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Abdominal and GastrointestinalProcedures and Skills

REBEL Core Cast 103.0 – Caustic Ingestions

Take Home Points Caustics are substances that injure tissue upon physical contact. Caustic potential is not purely a function of pH. The decision to admit is dependent on the history and physical. Vomiting, drooling, and stridor are concerning. Stridor alone ...

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Abdominal and GastrointestinalToxicology
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