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288.A 65-year-old man with a history of occasional painless rectal bleeding presents with 2 to 3 days of constant, dull RLQ pain ...

Gastrointestinal Bleeding 305 290.A 67-year-old woman with a history of hypertension and congestive heart failure presents with ...

Gastrointestinal Bleeding Answers 275.The answer is a.(Rosen, p 197.)Emergency medicine always starts with an assessment of the ...

Gastrointestinal Bleeding Answers 307 If not excised, symptoms will most often resolve within several days when the hemorrhoid u ...

308 Emergency Medicine (d)Pseudomembranous enterocolitis is an inflammatory bowel disorder that results from toxin-producing Clo ...

Gastrointestinal Bleeding Answers 309 area of the mucosa or submucosa of the GI tract; 75% of cases occur in the stomach with th ...

310 Emergency Medicine elevated bilirubin and liver enzymes. In alcoholic hepatitis, the AST is greater than the ALT by a factor ...

Gastrointestinal Bleeding Answers 311 flow and portal blood pressures and is effective in the initial control of bleeding relate ...

312 Emergency Medicine embolus,which accounts for 50% of cases. The classic finding is “pain out of proportion to examination fi ...

Gastrointestinal Bleeding Answers 313 mesenteric ischemia, but the specificity is low, ranging from 42% to 87%. Elevated serum l ...

314 Emergency Medicine patients have mediastinal or cervical emphysema,which may be noted by palpation or by a crunching soundhe ...

Gastrointestinal Bleeding Answers 315 a normal fluid-filled appendix, effectively ruling out appendicitis. A prompt surgical con ...

316 Emergency Medicine It occurs in approximately 7% of patients, and is the second most common serious complication of PUD. (c) ...

Musculoskeletal Injuries Questions 292.While playing in his family’s annual Thanksgiving Day touch football game, a 41-year-old ...

294.A 22-year-old soccer player presents to the ED complaining of right knee pain and swelling. He states that earlier in the da ...

Musculoskeletal Injuries 319 297.A 32-year-old male construction worker reports standing on scaf- folding before it suddenly gav ...

298.A 22-year-old college volleyball player presents to the ED complaining of left shoulder pain that began while attempting a s ...

Musculoskeletal Injuries 321 299.A 35-year-old man presents to the ED with right hand swelling, pain, and erythema that began 3 ...

301.A 22-year-old college student presents to the ED with a painful, swollen finger. He states that he was playing with a roomma ...

Musculoskeletal Injuries 323 303.A 23-year-old man presents to the ED complaining of left hand pain. He states that he was mad a ...