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Recognizing Surgical Emergencies

You'll be able to systematically evaluate acute abdomen, bowel obstruction, biliary disease, GI bleeding, and trauma presentations to determine urgency and next steps.

What this track covers

This track covers structured evaluation of common surgical emergencies, including differentiating surgical from non-surgical abdominal pain, applying imaging and scoring strategies for appendicitis and biliary disease, distinguishing small vs large bowel obstruction, and stratifying risk in GI bleeding and trauma. It emphasizes decision pathways clinicians use to triage and escalate care.

What you will practice

  • Differentiate peritonitic vs non-surgical abdominal pain on exam
  • Apply a clinical scoring approach to suspected appendicitis
  • Distinguish SBO from LBO using history and imaging findings
  • Sequence resuscitation and risk stratification in GI bleeding
  • Identify when biliary disease requires urgent vs delayed intervention

Simulator scenario

A patient presents with acute right upper quadrant pain and fever, requiring the clinician to work through biliary emergency evaluation and decide on escalation.

Board question topics

  • Acute abdomen differential diagnosis
  • Bowel obstruction imaging findings
  • GI bleeding risk stratification
  • Trauma primary survey priorities

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