REBEL Core Cast – Basics of EM – Introduction to Abdominal Pain

Jun 01, 22
REBEL Core Cast – Basics of EM – Introduction to Abdominal Pain

Take Home Points

  • Go in thinking sick vs not sick – this can take time to develop and that’s ok, this skill will come as you see more patients
  • If you’re thinking about getting a scan or u/s – just get it! You don’t want to go home thinking you should have gotten a scan and didn’t
  • Pain is subjective (what they tell you) and while tenderness is objective (what you see) – scan every patient that has true tenderness
  • Perform belly exams with distraction – ask a question while pressing on the belly and look for the involuntary flexing of the abdominal wall which is tenderness, grabbing your wrist which is guarding, or a firm abdominal wall which is rigidity
  • Just like real estate – think location location location – this will help guide your differentials and narrow down whats going on
  • As a general rule – above the level of the ASIS is abdominal, and below the ASIS is pelvic
  • Don’t anchor on a differential – there can more than one thing going on, keep searching if you don’t find an answer in your initial workup

REBEL Core Cast – Basics of EM – Introduction to Abdominal Pain

Click here for Direct Download of the Podcast

Co-Host

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)

The post REBEL Core Cast – Basics of EM – Introduction to Abdominal Pain appeared first on REBEL EM - Emergency Medicine Blog.

Leave a Comment

Like articles like this one?

Join our Email List and get the latest TCCC/TECC/TEMS news bulletins, articles, product releases, and more!

Free Delivery

On all orders over $99 within CONUS and to APO/FPO

Easy Returns

We're here to help! Satisfaction Guaranteed

Knowledgeable Staff

Ready to assist you at a moment's notice

Safe& Secure Checkout

World’s most advanced and secure website encryption.