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Rebellion in EM 2019: 3 Things That Have Changed the Way I Intubate

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lunes, 18 de febrero de 2019

Constipation Mimics

emDocs - February 18, 2019 - Authors: Farney R and Schmitz G
Edited by: Koyfman A and Long B
  • A patient presenting with constipation will often have a chief complaint of abdominal pain.
  • Constipation itself is not life-threatening; however, it can lead to or represent a life-threatening disease. An emergency physician must have a wide differential diagnosis to avoid misdiagnosis or attribution of symptoms to functional causes.
  • It is up to the emergency physician to look for red flags. Weight loss, rectal bleeding, peritoneal signs, fever, neurological signs, and history of constipation that requires regular use of enemas are some of the red flags that can be obtained in a good history and physical exam.
  • Non-organic constipation should be treatable with dietary changes, increase in fiber and water intake, and short courses of medications such as polyethylene glycol after other causes have been ruled out."