This poster illustrates a case of a Meckel’s diverticulum with an atypical presentation. An elderly patient presented to the emergency department with emesis, hematochezia, and a subsequent syncopal episode. Laboratory testing showed a low hemoglobin, leukocytosis, and lactic acidosis. Physical exam uncovered blood within the rectum. Electrocardiogram demonstrated ST-depression in the anterolateral leads with concurrent troponin elevation. The patient was given nitroglycerin and cardiac symptoms resolved. Several images, along with upper endoscopy, were performed in attempt to locate the bleed, with no success. The patient’s resulting hemodynamic stability deteriorated despite numerous blood transfusions and thus underwent emergent exploratory laparotomy for treatment of gastrointestinal bleed. Surgery revealed a bleeding, infarcted Meckel’s diverticulum with corresponding infarcted small bowel which were both were resected, stopping the bleed.
Jacob Babb, OMS-II, Donald Gusfa, OMS-II, Samantha Kennedy, DO, Ryley Macine, OMS-II, Catelyn Zuhl, BS
Disordered Eating Screen for Athletes (DESA-6): Addressing Accessibility, Technology, and Public Health View Poster Here
Disordered eating (DE) is a problem among adolescent athletes, and can lead to increased incidence of stress fractures, low energy availability, and mood disruption. If untreated, DE could progress to a clinical eating disorder (ED), which have the highest rates of mortality among all psychiatric disorders. Our poster introduces the Disordered Eating Screen for Athletes (DESA-6), a 6-item screening tool to quickly identify athletes who may be at risk for disordered eating. The tool was shown to have an overall accuracy of 87.8%, with a sensitivity of 92% and specificity of 85.96%. During the validation of this tool, we obtained a random population sample of 308 student athletes and found 24% (n=74) screened positive for DE. Our poster is a summary of these findings using the average Michigan high school athlete population as reported by the Michigan High School Athletic Association.