EM@3AM: Stercoral Colitis
A 73-year-old female presents with abdominal pain, vomiting, and weakness for two days. She has felt bloated and nauseous for approximately 6 days. She has a history of chronic constipation and uses hydrocodone daily after a recent injury. Her last bowel movement was 12 days ago. Her vital signs include a BP 92/55, HR 117, T 101.2 oral, RR 24, SpO2 96% on room air. She appears in mild distress and has a distended lower abdomen. On exam, there is diffuse abdominal tenderness with palpation. Her resulting blood work shows leukocytosis with WBC 14 and lactate 3.
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