PPT-55yo obese woman with presents with severe epigastric pain. Afebrile, WBC 15, normal LFTs.

What is your overall interpretation and clinical diagnosis Images courtesy of Brandon Fainstad MD Gallstones at bladder neck with sludge and a thickened GB wall Acute Cholecystitis What is a normal GB wall thickness and when does a thickened GB not suggest cholecystitis . Arpan Patel. Triage. 25 . yo. Male with abdominal . pain. Afebrile. , VSS. - nausea. + vomiting and diarrhea. History . 11 hours ago, sudden onset of sharp stabbing pain in the . epigastric. area (pt points there). An 11-year old male is brought to the ER 30 minutes after sustaining a stab wound at the epigastric area during a street rumble. . Epigastric Stab Wounds. At the Emergency Room: . He . is conversant, conscious, coherent, ambulatory, not in respiratory distress . . Siti Anisah Mohamed@Mohd Adnan ¹. , Hamizah Ismail², Razman Mohd Rus³, Zalina Nusee².  . Department of Obstetrics and Gynaecology, Hospital Tengku Ampuan Afzan¹. Department of Obstetrics and Gynaecology, Kulliyyah of Medicine, International Islamic University Malaysia². Objectives. At the conclusion of this presentation the participant will be able to:. Describe how the obesity epidemic impacts the delivery of trauma care.. Discuss considerations needed in the initial assessment of the obese trauma patient. Objectives. At the conclusion of this presentation the participant will be able to:. Describe how the obesity epidemic impacts the delivery of trauma care.. Discuss considerations needed in the initial assessment of the obese trauma patient. PEM Team – Drs. Auerbach, Garcia, Goldman, Gross, . Woll. and . Tiyyagura. Today’s Featured Speaker:. David Stitelman, M.D.. Assistant Professor of Surgery. Yale University School of Medicine. December 13. William Alazawi MA(. Cantab. ) PhD MRCP. Senior Lecturer and Consultant in . Hepatology. Queen Mary, University of London. Does Liver Disease Matter?. Mortality in England & Wales. Liver-related mortality in under 65s. Kevin . Biese, . MD, MAT. Ellen Roberts, . PhD, MPH. Jan Busby-Whitehead, MD. University . of North Carolina . at . Chapel Hill. Division of Geriatric Medicine. Center for Aging and Health . Department of Emergency Medicine. PhD. , ABPP. Professor and Head, Division of Clinical and Neuropsychology. Department of Rehabilitation Medicine. University of Washington School of Medicine. Seattle, WA . Aaron E. Miller, MD . Professor of Neurology . 1 minute per question. WRITE DOWN YOUR ANSWERS. Try not to confer or look up answers. Question 1. A 30 year old banker came in with pain in the . epigastric. region which radiated to his back. He says he can't keep anything down & sitting forward helps. On examination there is decreased breath sounds on the left side which is stony dull to percussion at the base. Which of these investigations is most appropriate? . HPI. Patient is 30 . yo. old G6P4013 at 36+5 is here in clinic with concerns for weight gain, intermittent headaches/epigastric discomfort, nausea and increased swelling. . More history. Symptoms started together approximately 1 week ago and per patient has gained approximately 15 pounds. . Nicole López-. Cañizares. MD. 1. , . Cristhian. Valor MD. 2. , Flavio . Malcher. MD, MSc, FACS. 3. . Department of Surgery, NYU Langone Hospital. DISCLOSURES . FM: Intuitive, BD, Medtronic, Integra, Allergan, Deep Blue. A 60-year-old man presents to the emergency department with 1 day history of hematemesis and melena. He has a history of osteoarthritis, diabetes mellitus, and hypertension. He has a remote history of hepatitis C, which was treated successfully in the 1990s. His medications include metformin, glimepiride, aspirin 81 mg, and ibuprofen 400 mg three times daily. On physical examination, his vital signs are as follows: Temperature 36° C Blood pressure 90/55 mm Hg Heart rate 110 bpm Respiratory rate 12 breaths/min His abdominal exam is soft and nontender. Laboratory studies are as follows: Hemoglobin 7.5 g/dL WBC 6000/μL Platelet count 290,000/μL Total bilirubin 1.4 mg/dL Creatinine 1.2 mg/dL INR 1.8 Which of the following recommendations is correct for this patient’s management?. Chris Littlewood . PhD. Professor of Musculoskeletal Research. ‘Over 20 million people in the UK (around a third of the population) live with a musculoskeletal (MSK) condition…’. Effectiveness of current treatments is unremarkable.