COTW 02/21: A 77-year-old male with abdominal pain.

Written By Guest User

A 77-year-old male with a PMH of Cholangiocarcinoma with mets, recurrent ascites, multiple small bowel obstructions who presents to the ED with worsening abdominal pain for 2 days. Patient states he has a hernia that has progressively become worse in pain and now notice bruising around the site.

BP: 87/57 HR: 74 RR:16 SpO2: 100% RA

PE: Umbilical hernia noted with purple discoloration, no crepitus, tenderness noted to palpation.

Point of Care Ultrasound was performed

Guest User
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COTW 2/14/22: 36 year old female with abdominal pain