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General information
The Emergency Medicine resident is trained to manage and recognize gastrointestinal
emergencies throughout his/her residency. The experience begins during
their first month when they receive lectures on gastrointestinal
emergencies. They gain practical experience their first year in their
surgical and pediatric months and additional experience during their ED
months throughout the course of their residency under the supervision of
an Emergency Medicine attending.
Logistics
Although gastrointestinal emergencies are integrated throughout the EM residents
training, they will spend a concentrated month during their first year
mastering the content of this subspecialty of emergency medicine.
Rating
This is an opportunity to master the content of gastrointestinal emergencies.
Abdominal pain is the most common presenting complaint to the emergency
department and thus it is important that the management of this
complaint is well understood at the onset.
| Goals and Objectives |
Reading Assignments |
| Discuss the approach to the patient with abdominal pain. |
Tintinalli 497-519
Rosen's 185-193 |
| Demonstrate knowledge of the causes, presentation, and
management of esophageal problems |
Tintinalli 523-531
Rosen's 1234-1241, 1244-1249 |
| Describe the etiologic agents, pathophysiology, and management
of infectious diarrhea. |
Tintinalli 569-572, 838-844
Rosen's 200-208, 1301-1326, 2315-2335 |
| Demonstrate the ability to evaluate, manage, and appropriately
disposition patients with pancreatic, gallbladder and liver disorders |
Tintinalli 574-592, 601-606
Rosen's 214-218, 1251-1282 |
| Demonstrate knowledge of the presentation, diagnosis, and
management of obstructive lesions of the alimentary tract. |
Tintinalli 539-542,
Rosen's 1244, 1283-1288, 1332-1337 |
| Demonstrate the ability to perform various gastrointestinal procedures including. |
NG tube insertion |
Roberts and Hedges 693-701 |
| Replacement and unclogging of gastrostomy tubes |
Roberts and Hedges 707-711 |
| Esophageal foreign body removal |
Roberts and Hedges 679-691 |
| Balloon tamponade of gastroesophageal varices |
Roberts and Hedges 713-718 |
| Paracentesis |
Roberts and Hedges 742-747 |
| Anoscopy |
Roberts and Hedges 757-761 |
| Removal of rectal foreign bodies |
Roberts and Hedges 764-769 |
| Describe the presentations, work-up, and appropriate
treatment of patients with inflammatory processes of the alimentary tract including. |
Peptic ulcer disease and gastritis |
Tintinalli 531-534
Rosen's 1241-1244 |
| Appendicitis |
Tintinalli 535-538
Rosen's 1293-1300 |
| Ilietis, colitis and diverticulitis |
Tintinalli 547-556
Rosen's 1288-1292, 1327-1332, 1337-1342 |
| Demonstrate familiarity with the evaluation, treatment, and
appropriate disposition of patients with gastrointestinal bleeding. |
Tintinalli 520-522
Rosen's 194-199 |
| Demonstrate familiarity with the evaluation, treatment and appropriate
disposition of gastrointestinal emergencies specific to children. |
Tintinalli 844-852,
Rosen's 2296-2314 |
Readings:
- Marx JA, Hockberger RS, Walls RM. Rosen's Emergency Medicine: Concepts and Clinical Practice, 5th
ed. Mosby, Inc. St. Louis. 2002: 185-199, 200-208, 214-218, 1234-1241-1249, 1251-1342, 2296-2335.
- Roberts JR, Hedges JR. Clinical Procedures in Emergency Medicine, 3rd ed. WB Saunders Co.
Philadelphia. 1998: 679-691, 693-701, 707-711, 713-718, 742-747, 757-761, 764-769.
- Tintinalli JE, Kelen GD, Stapczynski JS. Emergency Medicine: A Comprehensive Study Guide.
McGraw Hill. New York. 2000: 497-519, 520-542, 547-556, 569-592, 601-606, 838-852.
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