MUST LISTEN (re ABEM)

ABEM-style cases presented on EM Clerkship are not my actual ABEM exam cases, and they are not derived from my actual exam cases. I will never be discussing my specific exam details with anybody, including on this podcast. The cases were created independently, by me, for the purpose of medical education and improving patient care. […]

ACS, Acidosis, AAA and Other Miscellaneous Causes of Abdominal Pain

There are HUNDREDS of other non-GI/GU causes of abdominal pain… Acute coronary syndrome (ACS) Test with EKG and troponin Treat with aspirin and heparin Acidosis Diabetic Ketoacidosis (DKA) Respiratory Acidosis (COPD) Salicylate Toxicity (Remember MUDPILES) Abdominal Aortic Aneurysm (AAA) Older people with abdominal/flank/back pain or syncope Testing CT Scan Abdomen with contrast (Good) CTA Abdomen […]

Testicular Torsion and Prostatitis

Testicular Torsion History Pain in the testicles Referred pain in the flank or lower abdomen Usually sudden and severe Usually WITHOUT urinary symptoms Exam Asymmetric testicular lie High riding testicle Tenderness and swelling of the testicle itself Cremasteric reflex Testing Testicular Ultrasound Treatment Immediate call to urology when suspected Manual detorsion (“Open the Book”) Prostatitis […]