“You mind taking a look? I’m stumped.”
Roger had just joined the emergency department staff, so I took his question as a good sign that he wasn’t letting ego get in the way of good medicine.
“Kim, 27 years old,” he began. “Off-and-on belly pain for five years.”
“Five years?”
“That’s what she says. She comes in complaining that it’s much worse over the past two days. Mainly epigastric.” Roger pointed to the pit of his own stomach. “Heart rate was 130. So I worried about sepsis or bleeding. But she has no fever, her blood pressure’s good, labs are normal, and she’s not pregnant.”
