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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES & RELATED

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domingo, 15 de diciembre de 2019

Viscous Perforation

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emDocs - December 14, 2019 - Authors: Thomas Aubuchon and Eric Sulava
Reviewed by: Brit Long and Alex Koyfman
"Pearls:
  • Early resuscitation with fluids and antibiotics in any suspected perforation.
  • Allow your risk factors guide your differential! (Table 1).
  • Early surgical consult in any suspected perforation.
  • This is often a clinical diagnosis. The abdominal exam can be helpful, but be wary in immunocompromised and elderly patients.
  • Imaging can help; however, do not rely on radiographs (especially plain films). CT may be needed for definitive diagnosis."