Cannot miss / life threats
Cannot miss / life threats
Differential diagnosis — checklist
0/18
Check off each diagnosis as you consider it. Tap the name for unique exam, lab/imaging clues, first-line confirmatory test, and management.
Infectious0/3
GI0/5
Metabolic / endocrine0/5
Toxic / drug0/5
Initial ED workup
Bedside0/4
- Orthostatic vitals
- Pregnancy test
- Glucose
- ECG if older / electrolyte concern
Labs0/4
- CBC, BMP, lipase
- VBG with lactate
- UA
- Stool studies if bloody / prolonged / immunocompromised
Imaging0/3
- Plain film for obstruction screen
- CT if surgical concern
- US RUQ
Initial management0/4
- IV antiemetic (ondansetron)
- IVF resuscitation, replace K/Mg
- Oral rehydration when tolerated
- Avoid antimotility if bloody / toxin-mediated