Behind the surgery podcast, relevant and engaging content designed to help you dominate the day. Hello everyone welcome back to the bariatric surgery team on behind the knife

subspecialty series I'm Matt Martin I'm a trauma and bariatric surgeon at the University of Southern California.

Here with the rest of our team.

I'm Adrian Dan. I'm from Akron, Ohio.

I'm the Fellowship Director for MIS Bariatrician Forgot Surgery Fellowship at a place called

Summa Health System, Northeast Ohio Medical University.

So I'm Crystal Johnson and I'm a Bariatric and Fore Foregut surgeon at a University of Florida in

Gainesville, Florida, where I, we don't have a fellowship, but I'm our fourth year

surgery with the person director.

And my name is Paul Vichnovsky, I am the fifth year general surgery resident at the University of Southern California. 42 year old female in the emergency room who underwent a

laparoscopic astric bypass about 11 days ago.

The operation, at least per the report, was uneventful,

and she had a negative air leak test.

The post-operative course was again uneventful and she was

discharged on post-op day one. Her medical history is significant for hypertension

and hyperlipidemia and she has no other surgical history.

So at home she's been able to keep up with a clear liquid diet,

but she complains that this morning she experienced abdominal pain

and palpitations.

You note that her vital signs show a mildly elevated blood pressure and her latest heart rate is in the 120s.

Dr. Dan, want to hear something like this, my mind jumps to the worst conclusions.

If you were seeing this patient in the emergency room, how would you go about assessing them?

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