Post by pbruss on Jul 4, 2014 14:19:23 GMT -5
I have shown this case to a few of you in Toledo's ER so please dont share the answer just yet.
54 year old male, drinks 30 beers a day, smokes, has HTN but does not take his meds, has not see a doctor in 15 years, and has not been to any other ER recently. Comes in with epigastric pain that radiates to his back and bloos in his stools for 2 days. he is vomiting, but denies any blood in his vomit. He says his stools are black and sometimes mixed with dark red blood. on exam his is tachycardic and hypertensive, has moderate epigastric tenderness with guarding and rebound.
attached is a CT with IV contrast only - due to vomiting and high BMI - radiologist says abnormal appreance of proximal small bowel which could be due to infection, inflmation or ischemia, "please correlate clinically"
What do you guys think about the CT? IS there anything concerning that was not mentioned by the radiologist?
54 year old male, drinks 30 beers a day, smokes, has HTN but does not take his meds, has not see a doctor in 15 years, and has not been to any other ER recently. Comes in with epigastric pain that radiates to his back and bloos in his stools for 2 days. he is vomiting, but denies any blood in his vomit. He says his stools are black and sometimes mixed with dark red blood. on exam his is tachycardic and hypertensive, has moderate epigastric tenderness with guarding and rebound.
attached is a CT with IV contrast only - due to vomiting and high BMI - radiologist says abnormal appreance of proximal small bowel which could be due to infection, inflmation or ischemia, "please correlate clinically"
What do you guys think about the CT? IS there anything concerning that was not mentioned by the radiologist?
Attachments:
