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
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 – Epigastric Pain appeared first on REBEL EM - Emergency Medicine Blog.