Quiz Medicine 007

Scenario

A 58 year old patient who is undergoing Continuous Ambulatory Peritoneal Dialysis for end stage renal disease presents with a 6 hour history of severe abdominal pain and vomiting.
His observations are:
Quiz Medicine 007 2007 02 06

Question

Describe your assessment.(100%)

Answer

FACEM SAQ Exam 2007.2 – Question 6

  • The overall pass rate for this question was 47/77 (61.0%).
  • Pass Criteria
    • The examiners felt that this was a straight forward question addressing a typical ED presentation.
    • Good answers based their assessment on eliciting evidence pro or con the numerous differentials in the diagnosis.
  • Features of unsuccessful answers
    • Poor answers failed to think beyond bacterial peritonitis as a cause or dealt with management issues rather than assessment.

ACEM Fellowship Short Answer Questions (SAQ)

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About Mike Cadogan

Emergency physician with a passion for medical informatics and medical education. I write medical textbooks, websites such as HealthEngine and write more eclectically on the web as @sandnsurf | + Mike Cadogan | Contact