Last week we discussed PUD and gastritis. We touch on H. Pylori as a leading cause of PUD, but it deserves it's own slot for review. While we don't usually diagnose or treat this in the ED ourselves, it is useful to know so we can discuss this important disease with our patients!
In the next several posts, we review some of the common GI disorders we see in the ED, starting with peptic ulcer disease and gastritis. Read on for a good overview and some pearls of wisdom from Dr. Ugorets!
A 44 yo male presents complaining of abdominal pain. As your basic differential for abdominal pain swirls through your head, you are a bit surprised to walk in the room and see the patient sitting upright, vomiting bright red blood all over himself. Time to shift gears doc.....
65 year old male with no known past medical history presenting with constipation that has been worsening over the past month. Patient is a daily smoker and has not seen a doctor in twenty-five years. He has tried docusate, senna, and miralax at home with no improvement in symptoms.
A 60 yo female with a history of DM and HTN presents to the ED with fever and AMS. Family reports that this morning she appeared confused and generally ill, prompting a call to 911. In the ED, her vital signs are as follows: T: 39C; HR:120; BP: 85/40; RR:26; SpO2: 97%.
A 55 year old male with a history of cirrhosis and HTN presents to the ED with progressively worsening abdominal pain and distension for the past week. Vitals are as follows: T101F HR110 BP150/95 SpO297% RR20.