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Abdominal X-rays Decreased in Children With Constipation Abdominal X-rays Decreased in Children With Constipation

A simple, cost-effective intervention decreased rates of unnecessary abdominal X-rays in children seen in the ED for constipation, a new study has found.Medscape Medical News
Source: Medscape Medical News Headlines - Category: Consumer Health News Tags: Emergency Medicine News Source Type: news

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​​BY ​​​GURDEEP​ SINGH NAGI, MD; BHAVINI TAILOR, ​MD; & ​AHMED RAZIUDDIN, MDA 40-year-old man with no significant past medical history presented to the emergency department with visual problems. He said he had noticed about four days earlier a dark red circle over any object on which he tried to focus. The condition had been constant and had not improved or worsened over the past few days. He also said it did not matter whether he was focusing on an object that was near or far.The patient had seen an optometrist who recommended he have blood work done, but did not specify what exactly to test...
Source: The Case Files - Category: Emergency Medicine Tags: Blog Posts Source Type: research
Conclusions This study confirms that the medical history provides a pivotal role in the diagnosis of functional constipation. Digital rectal exploration and x-rays should be avoided in this setting, whereas an enema plays a useful diagnostic and therapeutic role in our study patients.
Source: Pediatric Emergency Care - Category: Emergency Medicine Tags: Original Article Source Type: research
​BY BILLY ZHANG; KRISTEN HUGHES; SHAMIM KHAN, MD; FRANCISCO JACOME, MDA 51-year-old woman presented to the emergency department with severe mid-abdominal pain that had begun early that morning and progressively worsened. The patient also reported having loose bloody stools, bouts of nausea, and several episodes of vomiting yellow bilious fluid.Her medical history was negative for similar episodes. Past medical history was significant for asthma, gastroesophageal reflux disease, hyperlipidemia, hypertension, colonic polyps, constipation, and thyroid disease. Surgical history included cholecystectomy, C-section, and N...
Source: The Case Files - Category: Emergency Medicine Tags: Blog Posts Source Type: research
I’m proud of the fact that I’m self sufficient in the emergency department. And it irritates the fire out of me to see prima donnas (read surgeons) come into the department and require the entire staff to follow them around to do little things they could do for themselves. I guess you could say that I was trained well by a charge nurse by the name of Beatrix where I did my residency. Miss Bea, as she called herself, or Miss Behemoth as the interns called her under their breath, was a heavy set matronly type with a ruddy complexion. Her upper arms had extra fat that sagged and waved when she pointed to something...
Source: EPMonthly.com - Category: Emergency Medicine Authors: Tags: Uncategorized Source Type: news
Conclusions: Because of the high mortality in patients with TM that were treated medically or with colonic decompression, a resection of massively distended part of the colon should be performed.
Source: Pediatric Emergency Care - Category: Emergency Medicine Tags: Illustrative Cases Source Type: research
It was discovered that my eight-year-old daughter is full of poop. Literally, full of poop. At a check-up appointment the doctor discovered that she doesn't empty everything and stool is sitting inside her little body that is causing problems. Shortly after this revelation I too went to the doctor. After x-rays were run, I was told I suffer from "chronic constipation" and was also full of crap. Yep. I only poop about every three to four days. While I can openly talk and write about pooping, I have an issue with actually going number two in front of people. Anxiety sets in if I have to go in public or, heaven f...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
March is Colon Cancer Awareness Month, today’s TBT post provides some helpful information on colorectal cancer. Michelle was a healthy, active 47 year old. She tried to eat right and she exercised. It looked like the hard work was paying off: no health issues and lots of energy. Her work in the healthcare field motivated her to see her doctors regularly for checkups, to get mammograms and to have her blood work done annually. She knew she was getting close to the magical age of 50 and that soon she would need to get a colonoscopy to screen for colorectal cancer.  Since she had no family history of the disease sh...
Source: Disruptive Women in Health Care - Category: Consumer Health News Authors: Tags: Cancer TBT Source Type: blogs
Diverticulosis is a condition that describes small pouches in the wall of the digestive tract that occur when the inner layer of the digestive tract bulges through weak spots in the outer layer. When these diverticula become inflamed, that is called diverticulitis. Diagnosis of diverticulosis/diverticulitis is made over several methods, including a physical exam which includes a digital rectal examination, blood tests, x-rays or CT scans of organs in the abdomen, a colonoscopy or a flexible sigmoidoscopy. Treatment for diverticulosis includes a diet high in fiber, fiber supplementation if needed, plenty of fluids and exerc...
Source: Nursing Comments - Category: Nursing Authors: Tags: Advice/Education Caregiving General Public Nursing/Nursing Students Patients/Specific Diseases abdominal pain bloating diverticulitis diverticulosis fever and chills gas nausea painfule urination rectal bleeding vomting Source Type: blogs
Michelle was a healthy, active 47 year old. She tried to eat right and she exercised. It looked like the hard work was paying off: no health issues and lots of energy. Her work in the healthcare field motivated her to see her doctors regularly for checkups, to get mammograms and to have her blood work done annually. She knew she was getting close to the magical age of 50 and that soon she would need to get a colonoscopy to screen for colorectal cancer.  Since she had no family history of the disease she wasn’t worried. She felt certain that, just as all her previous testing had come back normal, this one would t...
Source: Disruptive Women in Health Care - Category: Consumer Health News Authors: Tags: Cancer Source Type: blogs
Volpe, Michael DO; Golden, Jonathan MD; Amodeo, Dana DO A 17-year-old Caucasian man with no significant past medical history or hospitalization presented to the ED complaining of abdominal pain, bloating, and diarrhea for five days. The patient said his pain was located in his upper abdomen; it was cramping, constant, and worse when he laid down, with a 7/10 intensity. He reported more than 10 episodes of watery, brown, non-bloody diarrhea daily since the onset of his symptoms. He said he had nausea and had one episode of non-bloody and non-bilious vomiting prior to arrival. He denied fever, chills, headache, sore throat...
Source: The Case Files - Category: Emergency Medicine Tags: Blog Posts Source Type: research
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