Christopher C. Raio, MD MBA FACEP
Chairman, Department of Emergency Medicine, Good Samaritan Hospital Medical Center, West Islip, NY, USA Progressive Emergency Physicians
A 55-year-old male with a past medical history significant for gastroesophageal reflux disease and hypertension presented to the emergency department, complaining of severe abdominal pain and distention. The patient stated that the pain began to develop while attending a party the previous evening. The pain was sharp, greater in the upper-abdominal area, and worsened throughout the course of the night. On presentation at the emergency department, the patient was tachycardic, diaphoretic, and appeared to be in moderate distress, exhibiting diffuse abdominal tenderness. The patient was immediately evaluated by the emergency department team, placed on telemetry monitoring, intravenous access was gained and hydration initiated, and appropriate blood specimens were collected. The emergency medicine resident decided to perform a focused abdominal ultrasound to help elucidate the cause of the patient’s undifferentiated acute abdominal pain.