Abdominal Pain Case 5 ‘Severe epigastric pain’ Janice is a 55 year old female who presents to the Emergency Department (ED) with severe epigastric pain and three episodes of vomiting over the last twelve hours. On examination she is tachycardic, diaphoretic and appears to be in significant discomfort.  Which of the following listed is the … More ABDOMINAL PAIN CASE 5

Re: ACEM OSCE 2019:1 ‘Refugee‘ Station   Emergency Department Back of Bourke Base Hospital NSW 2121 Australia   April the 1st 2019 (not in jest) Dear Dr Jeff Cott, Cultural competence is a central part of Emergency Medicine practice, especially in 2019 in an Australasian setting.  I was glad to hear that ACEM are considering … More The Latest ACEM OSCE Controversy

ABDOMINAL PAIN CASE 4 ‘I can’t keep anything down’  Richard is a 26 year old male who presents to ED with vomiting, two episodes of loose stool and abdominal pain for one day. On examination, his heart rate is 100, BP 120/60, RR 20 and his temp 38.0 degrees. You palpate his abdomen and find … More ABDOMINAL PAIN CASE 4

ABDOMINAL PAIN CASE 3 ‘An aged male patient with acute abdominal pain’ Gao is an 81 year old male who presents to ED with severe periumbilical abdominal pain. He has a background medical history of long standing hypertension, osteoarthritis and atrial fibrillation but is usually well and living an independent life at home. He takes … More ABDOMINAL PAIN CASE 3

ABDOMINAL PAIN CASE 2 ‘That doesn’t look right’  You have been asked to review a 67 year old male patient called Jim. He has presented to the Emergency Department with abdominal pain after passing a large amount of meleana per rectum. Further, he has a history hypertension and gout. At the bedside you note that … More ABDOMINAL PAIN CASE 2