UOTW #45

A 25 yo female presented with 2 days of abdominal pain. The pain started in the mid-abdomen, subsequently moving to RLQ. She was initially seen at an urgent care that uncovered an elevated white blood cell count, and the patient was sent to the emergency department. The patient reported nausea without vomiting. The patient was […]

UOTW #40

46 yo healthy male presents with slowly worsening left groin pain. The patient works in manual labor. On exam he is in mild distress and points to an area just lateral to his pubic symphysis, stating that he has an aching pain in that region that is worse as the day progresses. On physical exam, the […]

UOTW #22

80 yo f presents from home with complaints of pain around her g-tube. The g-tube has been functioning properly, and the patient denies pain with feeding. Her past medical history is significant for diabetes, peripheral vascular disease and 2 MI’s in the past. She denies fever/chills, diarrhea. Physical exam shows normal vitals signs. Inspection of area […]

UOTW #21

19 y/o WF presents with c/o months of intermittent episodes of postprandial abdominal distention, pain and severe n/v.  She states that she has been to the ER several times for this before and “always gets an NG tube,” resolving the episodes.  On exam, the pt has moderate firm upper abdominal distension and tenderness.  Your initial abdominal […]