Recently started my ER rotations and was sent by my attending to see my first pt of the day, a late twenties male with abd pain. Get in there, he's laying very still and complaining of RLQ abd pain, start to get excited that I may actually have something real, ask him about his history, he says high BP, but he's compliant with meds, his pressure is pretty good so all is well. Return to my attending relay the story and he agrees with my plan to line, lab and CT. Do some charting and CT returns acute appendicitis. Woo! I caught something real, attending has me call surgery and I get the very cranky attending who says he'll come down and admit shortly. I go back to pts room to tell him the good news and hover in case he ruptures as I only have one other patient and they were just the flu. About ten minutes later surgical attending walks in and explains plan for surgery later today, as I start to walk out pt says "oh wait, I'm a hemophiliac, that won't be a problem will it?"
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