Male patient in early 40s says he had a big meal last night, | Figure 1

forderit

Emergency Medicine

Some actions are only available when you log in.

Male patient in early 40s says he had a big meal last night, woke up early morning with lower abdominal pain, no nausea or vomiting, has history of 'twisted bowels' secondary to adhesions, booked for CT abdomen by surgeons, gas shows respiratory acidosis PCO2: 9, HCO3: 35, PH:7.33, Lactate:1, is the diagnosis clear or would you still need that CT?

More about this case

Resolved

Why you should join Figure 1

Similar cases



Axial contrast enhanced CT of the abdomen shows three findings of a heterotaxy syndrome. What are the findings and which heterotaxy syndrome does this patient have?

#FridayQuizDay](https://app.figure1.com/case-detail/0b7b0e72-d31c-4852-b9b3-37520cf6c810)



17 year-old female with ESRD presents for evaluation of renal transplant revision. • First image: coronal CT in the early arterial phase of the left upper quadrant. • Second image: coronal CT in the early venous phase of the left upper quadrant. • What is this zebra-striped organ? 🦓](https://app.figure1.com/case-detail/26c23391-fee6-481f-b6c7-97a4d6438734)



Ovarian cancer (as seen in the above CT scan) often goes undetected until it has spread within the pelvis and abdomen. Ovarian cancer often has no symptoms in the early stages. Later stages are associated with symptoms, but they can be non-specific, such as loss of appetite and weight loss](https://app.figure1.com/case-detail/54d60a97-2e94-40ac-8410-079d013062a5)



Patient in her early 40s, presenting with shortness of breath and dry painful coughs for a few days. No acute abdominal pain. No past medical history of significance. Observations are all normal. Chest x-ray as shown. CRP:120, liver enzymes (ALT 150, Alk Phos 220, Gamma-GT 130) are all mildly elevated. No gallstones are visible on your POCUS and the abdomen is soft on examination. Are there any abnormal findings on the chest radiograph? What respiratory infections are typically associated with liver enzyme derangement? What other tests/screening would you need? What provisional treatment would you administer?](https://app.figure1.com/case-detail/618cbf35-5eb8-4a1c-b6ac-ecc3a7c07fb0)



A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.
He had a history of hypertension, long-term smoking, and a sedentary lifestyle.
On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)



A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets.
Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)



A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)



patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)