• CDC
  • Heart Failure
  • Cardiovascular Clinical Consult
  • Adult Immunization
  • Hepatic Disease
  • Rare Disorders
  • Pediatric Immunization
  • Implementing The Topcon Ocular Telehealth Platform
  • Weight Management
  • Monkeypox
  • Guidelines
  • Men's Health
  • Psychiatry
  • Allergy
  • Nutrition
  • Women's Health
  • Cardiology
  • Substance Use
  • Pediatrics
  • Kidney Disease
  • Genetics
  • Complimentary & Alternative Medicine
  • Dermatology
  • Endocrinology
  • Oral Medicine
  • Otorhinolaryngologic Diseases
  • Pain
  • Gastrointestinal Disorders
  • Geriatrics
  • Infection
  • Musculoskeletal Disorders
  • Obesity
  • Rheumatology
  • Technology
  • Cancer
  • Nephrology
  • Anemia
  • Neurology
  • Pulmonology

Abdominal Pain, Altered Mental Status in a 60-year-old Woman

Poll

VIDEO: Patient reports progressive weakness x1 month. Acute abdominal pain/emesis began earlier in the day. What's in your differential dx?


 

Patient reports feeling weak x1 month; husband describes low-grade fevers. Acute abdominal pain, emesis began this morning; no diarrhea. PMH: recent dx of factor V Leiden; no medications. Vitals: Temp: 97.4oF;HR: 76 bpm, RR: 16, BP: 124/63. Review video of ED interview.

 

What's your diagnosis?

A. Endocarditis with likely septic emboli to brain
B. Other infection (meningitis, UTI, pneumonia)
C. Stroke
D. Sinus venous thrombosis
E. Dehydration
F. Electrolyte abnormality (hyponatremia, hypokalemia)
Related Videos
Primary Care is the Answer to the Migraine Care Gap, Says Headache Specialist
Related Content
Primary Care-Based Injury Prevention Program Reduces Pediatric Injuries: Daily Dose / image credit: ©New Africa/AdobeStock

Primary Care-Based Injury Prevention Program Reduces Pediatric Injuries: Daily Dose

April 12th 2024
Article

Your daily dose of the clinical news you may have missed.

Obesity & Pain Management: A Primary Viewpoints Podcast

Obesity & Pain Management: A Primary Viewpoints Podcast

April 27th 2023
Podcast

In our latest episode, an obesity medicine physician explains the importance of a comprehensive plan to manage chronic pain in patients with obesity.

Atogepant Found More Effective for Migraine Prevention vs Rimegepant in New Analysis / image credit migraine headache: ©nataletado/stock.adobe.com

Atogepant Found More Effective for Migraine Prevention vs Rimegepant in New Analysis

April 3rd 2024
Article

Atogepant was associated with fewer monthly migraine days, fewer acute medication use days, and greater QoL compared with rimegepant after 12 weeks.

Primary Viewpoints Episode 19: Mobile Health Technology for Chronic Pain Management

Primary Viewpoints Episode 19: Mobile Health Technology for Chronic Pain Management

September 29th 2022
Podcast

"Primary Viewpoints," a podcast from Patient Care Online, brings you an exclusive interview with Lynn Webster, MD, past president of the American Academy of Pain Medicine.

Investigational Nonopioid VX-548 Reduces Moderate to Severe Post-Surgical Pain in Late-Stage Clinical Trials / Image Credit pain points ©Sebastian Kaulitzky/Shutterstock.com

Investigational Nonopioid VX-548 Reduces Moderate to Severe Post-Surgical Pain in Late-Stage Clinical Trials

January 31st 2024
Article

Oral VX-548 has the potential to fill the gap between drugs that are tolerable but lack efficacy and opioids with therapeutic efficacy but known risks, according to Vertex.

Daily Dose: Gabapentinoids & Risk of Severe COPD Exacerbations / image credit: ©New Africa/AdobeStock

Daily Dose: Gabapentinoids & Risk of Severe COPD Exacerbations

January 26th 2024
Article

Your daily dose of the clinical news you may have missed.

© 2024 MJH Life Sciences

All rights reserved.