In the ED, their vitals/exam are as above. Patient with new, infectious vs. malignant abdominal mass. – Labs/Tests: VBG, lactate, CBC, CMP, lipase, troponin x2, BNP, coags, blood cultures, procalcitonin, UA, urine culture – Imaging: Upload outside images, CXR – Treatments: IVF, empiric antibiotics, supplemental O2 as needed, pain control as needed, antiemetics as needed […]
A/P
Abdominal Mass
In the ED, their vitals/exam are as above. Patient with new, likely malignant abdominal mass with*** metastasis. – Labs/Tests: Preop labs – Imaging: Upload outside images – Treatments: IVF, pain control as needed, antiemetics as needed – Consults: Oncology – Dispo: Likely admission to Oncology
Abdominal Compartment Syndrome
In the ED, their vitals/exam are as above. Concern for intra-abdominal hypertension necessitating immediate or intervention. Hence, will proceed as below including checking for signs of endorgan dysfunction. – Labs/Tests: VBG plus, Lactate, CBC, CMP, Lipase, PT/INR, Type & Screen, BCx, UA, UCx, COVID-19 RT-PCR, bedside bladder pressure (Foley attached to arterial line set up, […]
3rd Molar
In the ED, their vitals/exam are as above. The differential for pain just behind the molar includes acute vs. chronic pericoronitis (inflammation of the soft tissues surrounding the crown of a partially erupted tooth) +/- abscess, paradental cyst, food impaction causing peridontal pain, pulpitis from dental caries, acute myofascial pain in TMJ, and oropharyngeal malignancy. […]