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	<title>Comments on: VizD Vol 1.3</title>
	<atom:link href="http://drhem.com/2008/09/28/vizd-vol-13/feed/" rel="self" type="application/rss+xml" />
	<link>http://drhem.com/2008/09/28/vizd-vol-13/</link>
	<description>the place for EM</description>
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	<item>
		<title>By: Julie Nguyen</title>
		<link>http://drhem.com/2008/09/28/vizd-vol-13/#comment-110</link>
		<dc:creator><![CDATA[Julie Nguyen]]></dc:creator>
		<pubDate>Mon, 06 Oct 2008 00:40:24 +0000</pubDate>
		<guid isPermaLink="false">http://drhem.wordpress.com/?p=200#comment-110</guid>
		<description><![CDATA[1. Hematuria.  Associated with rhabdomyolysis.
2. Bilious gastric fluid.  Associated with small bowel obstruction/ileus.
3. Gallstone.  Assocated with gallstone pancreatitis or cholecystitis but in his case it sounds more like gallstone pancreatitis.]]></description>
		<content:encoded><![CDATA[<p>1. Hematuria.  Associated with rhabdomyolysis.<br />
2. Bilious gastric fluid.  Associated with small bowel obstruction/ileus.<br />
3. Gallstone.  Assocated with gallstone pancreatitis or cholecystitis but in his case it sounds more like gallstone pancreatitis.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Richard Gordon</title>
		<link>http://drhem.com/2008/09/28/vizd-vol-13/#comment-108</link>
		<dc:creator><![CDATA[Richard Gordon]]></dc:creator>
		<pubDate>Sun, 05 Oct 2008 16:50:23 +0000</pubDate>
		<guid isPermaLink="false">http://drhem.wordpress.com/?p=200#comment-108</guid>
		<description><![CDATA[1. Serosanguinous fluid, Synovitis
2.Bile, Biliary leak...did patient have surgery recently??
3. Gallstones, Gallstone pancreatitis]]></description>
		<content:encoded><![CDATA[<p>1. Serosanguinous fluid, Synovitis<br />
2.Bile, Biliary leak&#8230;did patient have surgery recently??<br />
3. Gallstones, Gallstone pancreatitis</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Allison Loynd</title>
		<link>http://drhem.com/2008/09/28/vizd-vol-13/#comment-98</link>
		<dc:creator><![CDATA[Allison Loynd]]></dc:creator>
		<pubDate>Thu, 02 Oct 2008 22:25:09 +0000</pubDate>
		<guid isPermaLink="false">http://drhem.wordpress.com/?p=200#comment-98</guid>
		<description><![CDATA[1. Red fluid is red urine. But it isnt hematuria. The discoloration is secondary to rhabdomyolysis and the red isnt blood, its myoglobin.

2. Green fluid from NG is from bile and that plus distention indicates a possible bowel obstruction.

3. Epigastric pain radiating to back and a pile of rocks on a surgical towel = gallstones and referred pain from cholelithiasis.]]></description>
		<content:encoded><![CDATA[<p>1. Red fluid is red urine. But it isnt hematuria. The discoloration is secondary to rhabdomyolysis and the red isnt blood, its myoglobin.</p>
<p>2. Green fluid from NG is from bile and that plus distention indicates a possible bowel obstruction.</p>
<p>3. Epigastric pain radiating to back and a pile of rocks on a surgical towel = gallstones and referred pain from cholelithiasis.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Chris Guyer</title>
		<link>http://drhem.com/2008/09/28/vizd-vol-13/#comment-87</link>
		<dc:creator><![CDATA[Chris Guyer]]></dc:creator>
		<pubDate>Wed, 01 Oct 2008 11:23:59 +0000</pubDate>
		<guid isPermaLink="false">http://drhem.wordpress.com/?p=200#comment-87</guid>
		<description><![CDATA[1) urine, rhabdo
2) bilious emesis, SBO
3) melena, GIB]]></description>
		<content:encoded><![CDATA[<p>1) urine, rhabdo<br />
2) bilious emesis, SBO<br />
3) melena, GIB</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Devon Moore</title>
		<link>http://drhem.com/2008/09/28/vizd-vol-13/#comment-84</link>
		<dc:creator><![CDATA[Devon Moore]]></dc:creator>
		<pubDate>Tue, 30 Sep 2008 19:09:01 +0000</pubDate>
		<guid isPermaLink="false">http://drhem.wordpress.com/?p=200#comment-84</guid>
		<description><![CDATA[1.)  This is urine.  Associated with myoglobinuria due to the red color.
2.)  This is bile fluid probably due to a bowel obstruction, or even drainage from biliary disease. 
3.)  This is melena probably from a GI bleed due more commonly to an ulcer.]]></description>
		<content:encoded><![CDATA[<p>1.)  This is urine.  Associated with myoglobinuria due to the red color.<br />
2.)  This is bile fluid probably due to a bowel obstruction, or even drainage from biliary disease.<br />
3.)  This is melena probably from a GI bleed due more commonly to an ulcer.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Maria Pak</title>
		<link>http://drhem.com/2008/09/28/vizd-vol-13/#comment-83</link>
		<dc:creator><![CDATA[Maria Pak]]></dc:creator>
		<pubDate>Tue, 30 Sep 2008 13:11:55 +0000</pubDate>
		<guid isPermaLink="false">http://drhem.wordpress.com/?p=200#comment-83</guid>
		<description><![CDATA[1.  Urine (bloody) associated with rhabdomyolysis, secondary int his case to strenuous excercise and possible steroid use?

2.  Bilious gastric contents.  Associated with bowel obstruction.

3. Melanotic stool.  Associated with upper GI bleed, in this case due to pancreatitis vs peptic ulcer.]]></description>
		<content:encoded><![CDATA[<p>1.  Urine (bloody) associated with rhabdomyolysis, secondary int his case to strenuous excercise and possible steroid use?</p>
<p>2.  Bilious gastric contents.  Associated with bowel obstruction.</p>
<p>3. Melanotic stool.  Associated with upper GI bleed, in this case due to pancreatitis vs peptic ulcer.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Marjan Siadat</title>
		<link>http://drhem.com/2008/09/28/vizd-vol-13/#comment-82</link>
		<dc:creator><![CDATA[Marjan Siadat]]></dc:creator>
		<pubDate>Tue, 30 Sep 2008 00:13:56 +0000</pubDate>
		<guid isPermaLink="false">http://drhem.wordpress.com/?p=200#comment-82</guid>
		<description><![CDATA[1. Myoglobinuria--associated with muscle breakdown or rhabdomyolysis.
2. Bilious emesis---associated with bowel obstruction, such as volvulus.
3. Black pigment gallstones--can lead to pancreatitis]]></description>
		<content:encoded><![CDATA[<p>1. Myoglobinuria&#8211;associated with muscle breakdown or rhabdomyolysis.<br />
2. Bilious emesis&#8212;associated with bowel obstruction, such as volvulus.<br />
3. Black pigment gallstones&#8211;can lead to pancreatitis</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rob klever</title>
		<link>http://drhem.com/2008/09/28/vizd-vol-13/#comment-81</link>
		<dc:creator><![CDATA[rob klever]]></dc:creator>
		<pubDate>Mon, 29 Sep 2008 20:56:02 +0000</pubDate>
		<guid isPermaLink="false">http://drhem.wordpress.com/?p=200#comment-81</guid>
		<description><![CDATA[1) Urine containing myoglobin (myoglobinuria) secondary to rhabomyolysis caused from excessive muscle use. 

2) Gastric juice likely pulled from an NG Tube that had accumulated from a small bowel obstruction. 

3) A very thickened biliary sludge bordering on gallstone that is causing gallstone (sludge) pancreatitis.]]></description>
		<content:encoded><![CDATA[<p>1) Urine containing myoglobin (myoglobinuria) secondary to rhabomyolysis caused from excessive muscle use. </p>
<p>2) Gastric juice likely pulled from an NG Tube that had accumulated from a small bowel obstruction. </p>
<p>3) A very thickened biliary sludge bordering on gallstone that is causing gallstone (sludge) pancreatitis.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: mcdoc</title>
		<link>http://drhem.com/2008/09/28/vizd-vol-13/#comment-80</link>
		<dc:creator><![CDATA[mcdoc]]></dc:creator>
		<pubDate>Mon, 29 Sep 2008 01:34:26 +0000</pubDate>
		<guid isPermaLink="false">http://drhem.wordpress.com/?p=200#comment-80</guid>
		<description><![CDATA[1. Urine with myoglobinuria - Rhabdomyolysis
2. Gastric Fluid with Bile - Bowel Obstruction
3. Melena - Upper GI Bleed]]></description>
		<content:encoded><![CDATA[<p>1. Urine with myoglobinuria &#8211; Rhabdomyolysis<br />
2. Gastric Fluid with Bile &#8211; Bowel Obstruction<br />
3. Melena &#8211; Upper GI Bleed</p>
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