A 57 year-old male presents to the urgent care clinic with c…
A 57 year-old male presents to the urgent care clinic with chief complaint of severe abdominal pain, nausea, vomiting. His labs show elevated WBC, amylase three times the upper limit of normal, elevated lipase, and elevated hematocrit. He is unable to tolerate food or fluids. Upon exam, he is generally ill appearing, actively moaning and grabbing his abdomen, has diffuse tenderness to upper abdomen, and you notice discoloration around the umbilicus. What is the most appropriate treatment plan for this patient?
Read DetailsA 28 yo male presents for evaluation of severe left testicul…
A 28 yo male presents for evaluation of severe left testicular pain and swelling that developed over the past two days. Vital signs are unremarkable. On exam, his left testicle is tender with normal lie. His right testicle is unremarkable. The scrotum is painful, edematous. Urinalysis shows 57 WBC/hpf and 14 RBC/hpf. Which of the following is the most likely diagnosis?
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