Malpractice Counsel
Emergency Medicine. 2015 January;47(1):10-12
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Commentaries on cases involving stroke in a young man and bowel obstruction following gastric bypass surgery
Unfortunately, the EP in this case did not appreciate the seriousness of the situation. The presence of severe abdominal pain, tenderness, guarding, mild tachycardia with leukocytosis, and metabolic acidosis all pointed to a more serious etiology than muscle spasm. This patient required IV fluids, analgesia, and imaging, as well as consultation with the bariatric surgeon.