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 differential – the kidneys, the aorta, and consider chest pain differentials in any patient with epigastric pain
  • Get a stat upright CXR on unstable/peritoneal patients – look for free air under the diaphram
  • Always consider the gallbladder on your differential – get BMP and LFT’s – this will tell you both the direct and indirect bilirubin levels
  • Perform POCUS on these patients – look at the gall bladder, aorta, and kidneys – super quick to do and answers a lot of questions

REBEL Core Cast – Basics of EM – Epigastric Pain

Click here for Direct Download of the Podcast


James F. Martin, MD
Associate Clinical Professor – Rutgers RWJ
Monmouth Medical Center– RWJBarnabas
Long Branch, NJ

Post Peer Reviewed By: Anand Swaminathan, MD (Twitter: @EMSwami)

Cite this article as: Ellsworth Wright, "REBEL Core Cast – Basics of EM – Epigastric Pain", REBEL EM blog, June 1, 2022. Available at:
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Ellsworth Wright

Emergency Physician at St. Joseph's Regional Medical Center

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