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A man with intolerant vomiting.
- Source :
-
Emergency medicine journal : EMJ [Emerg Med J] 2020 Jan; Vol. 37 (1), pp. 41-49. - Publication Year :
- 2020
-
Abstract
- Case presentationA 57-year-old man was in a healthy state until 6 hours before presenting to the emergency department, when he suffered from more than 10 episodes of vomiting after a large meal at lunchtime. On physical examination, vital signs were unremarkable. Tenderness was noted over the epigastrium on palpation. Point-of-care ultrasound (POCUS) of the abdomen is shown in figure 1 and online supplementary video 1.DC1SP110.1136/emermed-2019-208863.supp1Supplementary video emermed;37/1/41/F1F1F1Figure 1Transverse (A) and longitudinal (B) ultrasonography of the epigastrium. QUESTION: What is the most likely diagnosis?Hypertrophic pylorus stenosisAortic dissectionSuperior mesentery artery (SMA) syndromeVolvulus For answer see page 2 .<br />Competing Interests: Competing interests: None declared.<br /> (© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.)
- Subjects :
- Diagnosis, Differential
Emergency Service, Hospital
Humans
Male
Middle Aged
Vomiting diagnostic imaging
Aortic Dissection diagnostic imaging
Intestinal Volvulus diagnostic imaging
Mesenteric Arteries diagnostic imaging
Pyloric Stenosis, Hypertrophic diagnostic imaging
Sigmoid Diseases diagnostic imaging
Ultrasonography
Vomiting etiology
Subjects
Details
- Language :
- English
- ISSN :
- 1472-0213
- Volume :
- 37
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Emergency medicine journal : EMJ
- Publication Type :
- Academic Journal
- Accession number :
- 31848264
- Full Text :
- https://doi.org/10.1136/emermed-2019-208863