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Imaging in Intussusception

Clinical Scenario: A 2-year-old female with no significant past medical history presents with vomiting and abdominal pain for 1 day. Among other entities in your differential diagnosis you are considering intussusception, however it is lower on your differential. How would you work-up this child?   Presenting Symptoms for Intussusception1 Sudden onset of intermittent, severe, crampy,Read more

52 in 52: Emergency Department Thoracotomy

Article Citation: Moore EE, Knudson MM, Burlew CC, Inaba K, et al; WTA Study Group. Defining the limits of resuscitative emergency department thoracotomy: a contemporary Western Trauma Association perspective. J Trauma. 2011 Feb;70(2):334-9. PMID: 21307731 Resident Reviewer: Courtney Cassella What we already know about the topic: Resuscitative ED thoracotomy (EDT) is a resource intense procedure withRead more

Imaging in Clostridium difficile infection

Clinical Scenario: A 68-year-old man with a past medical history of diabetes mellitus, hypertension, and recent admission for pneumonia presents with fever and diarrhea for 5 days. The patient has had multiple watery stools per day. Associated symptoms include mild vague abdominal pain but no nausea or vomiting. Exam is notable for mild diffuse abdominalRead more

Good news you’re pregnant… Now what?

Clinical Scenario: A 28-year-old G0P0, last menstrual period November 2, presents with amenorrhea. Urine pregnancy test is positive. Examination is normal. Bedside ultrasound demonstrates an early intrauterine pregnancy. After being given follow-up information and return precautions she asks for advice in order to have a healthy pregnancy. What do you tell her?   Foods toRead more