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EM Clerkship

Appendicitis and Diverticulitis

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5795 Ratings

🗓️ 2 June 2019

⏱️ 26 minutes

🧾️ Download transcript

Summary

Appendicitis History Vague nonspecific abdominal cramping and nausea (Nonspecific Phase) gradually progresses to localized pain (Localized Phase). The pain most commonly localizes in the RIGHT LOWER QUADRANT near McBurney’s Point. Exam Focal tenderness in the right lower quadrant McBurney’s Point: 1/3 the distance traveled from anterior superior iliac spine (ASIS) to the navel. Psoas Sign: […]

Transcript

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0:00.0

Hello, med students. My name is Zach Olson, and thank you for downloading this week's episode of the EM Clerkship Podcast.

0:10.3

Over the last few weeks, we've been working on a presentation-based approach to abdominal pain. Remember, abdominal pain is probably the single most high-yield area of study that you can do for your

0:21.0

emergency medicine clerkship.

0:22.8

Abdominal pain is the most common chief complaint, and abdominal pain is associated with

0:27.3

critical diagnoses that make up at least probably, you know, or at least could potentially

0:32.0

make up a quarter of your M4-C-Dem curriculum.

0:36.7

So it's super high-yield if you want to crush your slow. If you want to be a good

0:40.7

doctor, you just got to know this stuff. And this week, we're going to start powering through

0:45.3

this ginormous list of critical diagnoses. And so I'm going to say up front, this is going to, a few

0:52.6

disclaimers. This is going to miss some

0:54.3

pediatric stuff.

0:56.0

Clerkship directors of emergency medicine, they didn't put things like necrotizing

1:00.0

and teracolitis, malrotation with volvulus, interception.

1:03.5

That's not on this list.

1:04.9

And I think they're probably intending that you're learning about that during your

1:08.8

pediatrics clerkship.

1:10.7

There are really, so specifically there are 11 critical diagnoses listed in the CDM core

1:16.6

curriculum.

1:17.5

And then I'm going to expand on that and add a few big ones that I think you should know

1:21.9

that kind of fit in well during these episodes for the sake of being thorough because

1:26.5

they're still maybe not like life-threatening,

1:29.2

but they're still important and very common.

...

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