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Mukund

๐Ÿ‘ค Speaker
189 total appearances

Appearances Over Time

Podcast Appearances

The Clinical Problem Solvers
Episode 455 โ€“ Spaced Learning Series: Abdominal pain and distension

PT is done and returns elevated at 2.8.

The Clinical Problem Solvers
Episode 455 โ€“ Spaced Learning Series: Abdominal pain and distension

Got a CT chest, abdomen, pelvis.

The Clinical Problem Solvers
Episode 455 โ€“ Spaced Learning Series: Abdominal pain and distension

And that was notable for diffuse, patchy, ground-glass opacities throughout the bilateral lung parenchyma.

The Clinical Problem Solvers
Episode 455 โ€“ Spaced Learning Series: Abdominal pain and distension

Bilateral small pleural effusions.

The Clinical Problem Solvers
Episode 455 โ€“ Spaced Learning Series: Abdominal pain and distension

a patchy, consolidated opacity in the right lower lobe, moderate volume ascites,

The Clinical Problem Solvers
Episode 455 โ€“ Spaced Learning Series: Abdominal pain and distension

gallbladder wall thickening with pericholecystic stranding, which is nonspecific and likely related to volume status, but cholecystitis cannot be excluded per the radiologist's rate.

The Clinical Problem Solvers
Episode 455 โ€“ Spaced Learning Series: Abdominal pain and distension

With the clear suspicion for some kind of infection, broad spectrum antibiotics are started.

The Clinical Problem Solvers
Episode 455 โ€“ Spaced Learning Series: Abdominal pain and distension

He is pancultured and the remainder of the workup remains to be disclosed.

The Clinical Problem Solvers
Episode 455 โ€“ Spaced Learning Series: Abdominal pain and distension

So that is aliquot number two.

The Clinical Problem Solvers
Episode 455 โ€“ Spaced Learning Series: Abdominal pain and distension

Excellent.

The Clinical Problem Solvers
Episode 455 โ€“ Spaced Learning Series: Abdominal pain and distension

I think you guys are hitting on exactly the tensions that I was hoping for you to, namely, which organ system is involved?

The Clinical Problem Solvers
Episode 455 โ€“ Spaced Learning Series: Abdominal pain and distension

Is it multiple?

The Clinical Problem Solvers
Episode 455 โ€“ Spaced Learning Series: Abdominal pain and distension

Could it be all of them?

The Clinical Problem Solvers
Episode 455 โ€“ Spaced Learning Series: Abdominal pain and distension

I think the diagnosis is still very unclear at this point.

The Clinical Problem Solvers
Episode 455 โ€“ Spaced Learning Series: Abdominal pain and distension

So I'll give you some more data.

The Clinical Problem Solvers
Episode 455 โ€“ Spaced Learning Series: Abdominal pain and distension

Just for context, our hospital is very full right now.

The Clinical Problem Solvers
Episode 455 โ€“ Spaced Learning Series: Abdominal pain and distension

So patients who are admitted to the hospital often need to stay in the emergency department for quite some time before they can be moved up

The Clinical Problem Solvers
Episode 455 โ€“ Spaced Learning Series: Abdominal pain and distension

into the wards for a hospital bed.

The Clinical Problem Solvers
Episode 455 โ€“ Spaced Learning Series: Abdominal pain and distension

So that's what happens to this patient.

The Clinical Problem Solvers
Episode 455 โ€“ Spaced Learning Series: Abdominal pain and distension

He's admitted as an ED boarder.