Clinical Case Database / Category: Teaching and Training
Right upper quadrant pain
Foundation Years Journal, volume 6, issue 4, p.46 (123Doc Education, London, April 2012)
Emergency surgical admissions are some of the sickest patients in the hospital and it is important that at their initial assessment appropriate management is instigated. Senior clinicians reviewing such cases will recognize the pattern of presenting history and clinical signs allowing a diagnosis to be made based on experience. We highlight an example of a case from our experience which illustrates a pitfall for the unwary that recurrently presents in surgical practice. This case based discussion highlights an atypical presentation that the inexperienced should be reminded of each time a patient is referred to them with right upper quadrant pain. We discuss the learning points from this case and suggest further reading for interested trainees.
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1. I C Martin, D.G.M., J Stewart, M Mason, N C E Smith, K Gill, Emergency Admissions: A journey in the right direction? 2007, National Confidential Enquiry into Patient Outcome and Death.
2. Redelmeier, D.A., The Cognitive Psychology of Missed Diagnoses. Annals of Internal Medicine, 2005. 142(2): p. 115-120.
3. Dellinger RP, L.M., Carlet JM, Bion J, Parker MM, Jaeschke R, Reinhart K, Angus DC, Brun-Buisson C, Beale R, Calandra T, Dhainaut JF, Gerlach H, Harvey M, Marini JJ, Marshall J, Ranieri M, Ramsay G, Sevransky J, Thompson BT, Townsend S, Vender JS, Zimmerman JL, Vincent JL;, Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock: 2008. Crit Care Med., 2008. 36(1): p. 296-327.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.