Section: Module 3: Lesson 2: Gastrointestinal Diseases and Presentations | Didactic Emergency Medicine | NextGenU.org

  • Learning objectives
    • Demonstrate the ability to identify a surgical abdomen.
    • Discuss/explain the role of analgesia in patient management.
    • Recognize hemodynamic instability and identify the probable source of bleeding.
    • Understand the presentation, diagnostic tests, and ED management of appendicitis.
    • Describe the presentation, diagnostic procedures, and ED management of common biliary diseases.
    • Understand the pathophysiology, presentation, diagnostic tests, and ED management of bowel obstruction.
    • Describe the presentation, causes, and ED management of massive GI bleeding.
    • Describe the causes, presentation, diagnostic tests, and ED management of mesenteric ischemia.
    • Describe the presentation, diagnostic tests, and ED management of a perforated viscus.
    Approximate time required for the readings for this lesson (at 144 words/minute): 176 mins.

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    • Required Learning Resources and Activities
    • Read the entire text

    • Please read the entire text.

    • quiz icon
      Quiz: Module 3: Lesson 2: Abdominal Pain

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 3/4.

    • What are some of the most common sources of abdominal pain in your country or region?

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 2: GI Bleed

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

      Not available unless: The activity Quiz: Module 3: Lesson 2: Abdominal Pain is complete and passed
    • What are some of the most rare causes of gastrointestinal bleeding in your country or region?

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 2: Appendicitis

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

      Not available unless: The activity Quiz: Module 3: Lesson 2: GI Bleed is complete and passed
    • If a woman presented to the ED with symptoms of appendicitis, how would you approach their case differently, compared to a male presenting with symptoms of appendicitis?

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 2: Biliary Disease

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

      Not available unless: The activity Quiz: Module 3: Lesson 2: Appendicitis is complete and passed
    • Which tools of diagnostic testing for biliary disease do you have access to in your ED? Which ones do you use most often?

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 2: Small Bowel Obstruction

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

      Not available unless: The activity Quiz: Module 3: Lesson 2: Biliary Disease is complete and passed
    • Explain briefly why strangulation is the most lethal complication of small bowel obstruction.

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 2: Massive Gastrointestinal Bleeding

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

    • Is any one cause of massive gastrointestinal bleeding more common than the others in your country/region? If so, what population tends to be most affected by this?

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 2: Mesenteric Ischemia

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

    • Imagine you had to describe mesenteric ischemia to someone with no medical knowledge. How would you explain this disease in simple terms?

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 2: Perforated Viscus

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

    • Describe why cases of perforated viscus have a mortality rate of 30-50%, even with appropriate surgical and post-surgical care.

    • Additional Learning Options