Hello, med students. My name is Zach Olson, and thank you for downloading this week's

episode of the EM Clerkship podcast. Our summer of abdominal angst continues this week. We've been

working through that core abdominal pain differential diagnosis. This is like the most important differential that you need

to know, and so we've really been taking our time with this. And so far, we've covered four

critical diagnoses, the quadrant-based diagnoses, basically, appendicitis, diverticulitis,

all of the bilirees stuff, and pancreatitis.

And so this week, we are moving on.

And we're moving on to our intra-abdominal bowel emergencies.

This is a core concept that you need to hang on to this week.

Not all abdominal pain is related to a specific

quadrant. And I know, I know, I know, you love quadrantness. Everyone always gets the appendicitis

and the diverticulitis and their differential for some reason. But it's time to step up your

differential game because average medical students, they think in quadrants,

but even if you were to exclude all of the non-GI abdominal causes of abdominal pain,

you still would have this large list of intra-abdominal causes of abdominal pain

that aren't related to a specific quadrant and

that you guys forget. So our next four diagnoses, we're going to go through these. I'm going to

call them the bowelase, bowel-related causes of abdominal pain. Hello, Dr. Olson. I have a 60-year-old male with a history of appendectomy, colisysystectomy, gunshot wound

to the abdomen, atrial fibrillation, and diabetes who presents with abdominal pain.

He describes it as a continuous, gradually worsening, generalized abdominal pain that has been

getting worse over the last 12 hours.

He has been having multiple episodes of vomiting, but no fevers, chills, diarrhea, or urinary

...