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 […]

UOTW #20

75 yo male presents with diffuse, worsening abdominal pain and distention. He had an aortic aneurysm repair approximately 8 days prior and states that his symptoms have worsened since then. On arrival, the patient’s vitals are HR: 112, BP: 108/59, O2: 99%, RR: 40. Physical exam shows diffuse abdominal swelling and peritoneal signs. Hemoccult was […]

UOTW #13

This is a 37 year old female presenting with severe LLQ pain during a workout.  Denies nausea/vomiting. Pain is worse when tensing abdominal muscles.


43 y/o female complains of 3 days of paroxysmal right upper quadrant abdominal pain associated with nausea and vomiting.


This is an 18 y/o male who presents with 24 hours of severe intermittent crampy right-sided abdominal pain associated with nausea and vomiting.