1/15/25 Peds GI Block with Dr. Alex Arroyo

In this episode of the Maimo EM Pearls Podcast, host Chris Reilly is joined by Pediatric Emergency Medicine Specialist, Dr. Alex Arroyo, discusses critical pediatric gastrointestinal (GI) emergencies. They focus on a variety of conditions, including an intricate case of pediatric abdominal pain initially diagnosed as appendicitis but later identified as an appy + ovarian torsion. The discussion expands to other significant pediatric GI issues highlighted through conference talks, small group sessions, and oral board cases. Conditions covered include appendicitis, pyloric stenosis, malrotation with volvulus, intussusception, and necrotizing enterocolitis (NEC). Dr. Arroyo underscores the importance of keeping a broad differential diagnosis, understanding age-specific associations but not anchoring, and being vigilant with conditions like ovarian torsion and intussusception. Practical diagnostic tips, such as using ultrasound effectively and recognizing clinical signs, are also provided. The episode emphasizes the dynamic nature of emergency medicine and the necessity of adapting diagnosis strategies to ensure optimal patient care.