Hey folks, just a quick reminder that this episode is now meant to be used for medical advice, just good old-fashioned education.

All patient information has been modified to protect their identity, and the views expressed in our podcast do not necessarily reflect the opinion of our employers.

Welcome back to technical problem solvers. Thanks for joining us for another installment of our

space learning series in which we revisit schemas previously discussed on the podcast. I'm super

excited to be here with my close friends, Jack and Steph. What's up, team? I'm super stoked to be back

with you all today. I think we have a great case in store and I'm really excited to hear you guys talk through it. Yeah, Jack, I just realized that we're matching. Oh, we do. We are, we are looking, we are, we are looking active. For those of you listening, which is, which is, which is everybody to this podcast episode right now, Steph and I are both wearing black Nike tops, which means that we are ready,

we are ready to probably sweat through this case a little bit. Hopefully, Steph, more than I do, but I do get a little bit nervous with public speaking. So who knows? Thanks, guys. I didn't get the memo. Geez. All right. Are you guys, are you guys ready to get things going here? Let's do it. All right.

So you're called to the ED to evaluate a 58-year-old

woman with hypertension, diabetes, and hyperlipidemia, who's presenting with two weeks of progressive

malaise and five days of diffuse abdominal pain. The pain is dull, achy, crampy, and while it is worst

in the epigastric and periambulical

areas, she feels it all over.

She's also had progressive nausea and vomiting for the last two days and hasn't been able

to keep down any liquids or solids.

This morning, she felt dizzy and lightheaded, which is what prompted her to come to

the ER today.

Her review system is otherwise notable for chills and some mild shortness of breath.

She hasn't taken her temperature at home. She doesn't have any chest pain, cough, night sweats,

or weight loss. She's been passing gas and last had a bowel movement the day before presentation.

Okay, friends. Well, here we have a 58-year-old woman presenting with subacute, generalized abdominal pain,

nausea, and vomiting.

I was taught in an early part of my medical training in medical school to not only one, respect

...