Author: Peter von Hoven / Editor: Sarah Edwards / Codes: GP10, GP4, GP9, SLO1, SLO2 / Published: 19/10/2021
Mr Ship is a 94-year-old male who lives alone in his home, and is fully independent for all his activities of daily living. He presents to the Emergency Department (ED) complaining of vomiting every time he eats.
For the last 5 weeks Mr Ship has been complaining of vomiting after everything he eats. He is only able to keep a small amount of Weetabix down in the morning, and then has to survive on liquids from then on. He will still vomit small amounts of liquid. His vomit is clear with no blood. He also feels as though his trousers are starting to feel looser. He has put this down to poor oral intake. He has no abdominal pain, and his bowels continue to open every other day.
He has had multiple ERCP’s for recurring cholangitis, and is on 30mg Lansoprazole for GORD following a recent presentation to the ED.
On examination his abdomen is soft non tender, bowel sounds present, and his bloods are all normal.
His past medical history includes hypertension, and barrettes oesophagus.
Module Content
Neonatal Nuggets Part 2: tummy troubles
This session will explore common neonatal presentations that could be safely discharged from the ED without necessarily involving the on-call paediatric team.
Neonatal Nuggets Part 2: tummy troubles
This session will cover common tummy troubles with particular reference to evidence-based management of colic and gastro-oesophageal reflux.
Assessment and Management of Acute Urinary Retention
This session covers the common presentations of urinary retention and its management in the emergency department. It also covers the common problems that can occur in patients who have in-dwelling catheters.
6 Comments
Alcohol ingestion and smoking are risk factors for several malignancies
good summary of Ca esophagus
Nice brief on Oesophageal CA
Sharp and good
excellent
Good revision