Topic summary

An emergency department visit, described afterwards

Safety › Adverse events gallbladder hypoglycaemia pancreatitis

This is a generated summary. It shows the 9 most-liked posts from a topic of 63, in their original order, with the accepted answer included where one exists. It is a reading aid and it will miss nuance — the full topic is the record.

g.haalandTL3Regular5 Mar 2025#2

Medullary thyroid carcinoma is the reason these compounds are contraindicated in people with personal or family history of MTC or multiple endocrine neoplasia type 2. Rodent toxicology showed a signal; human evidence of causation is absent but caution is appropriate.

Not the whole picture, but the part of it I can speak to.

24 likes 17mo

OTeixeiraTL3Regular25 Mar 2025#6

Attribution is genuinely hard for a single case and the reporting schemes are designed to work with that. You are not expected to prove causation to file.

I am reporting what happened, not recommending it.

32 likes 16mo

j.nwosuTL26 Apr 2025#9

g.haaland, post #2: Medullary thyroid carcinoma is the reason these compounds are contraindicated in people with personal or family history of MTC or multiple endocrine neoplasia type 2. Rodent toxicology showed a signal; human evidence of causation is absent but caution is appropriate. Not the whole picture, but the part of it I can speak to. Go to post

Post #5 and I disagree about the size of the effect, not about the direction.

Emergency department visit has been discussed here with more heat than it deserves, mostly because two definitions have been in play the whole time.

25 likes in reply to #2 16mo

j.sandvikTL227 Apr 2025#15

Post #14 is right about the mechanism and I think understates the practical bit.

The most useful contribution to this subcategory is a completed account: what happened, what was done, and what the outcome was.

29 likes 15mo

a.salcedoTL3Regular16 May 2025#21

ca.haddad, post #3: I had read the opposite somewhere and cannot now find where, which tells me something. Go to post

The useful distinction on emergency department visit is between what was measured and what was inferred from it. Both end up in the same sentence and only one of them has error bars.

29 likes in reply to #3 14mo

k.karlsenTL27 Jul 2025#39

Marking my uncertainty on emergency department visit explicitly. I am confident about the direction, much less confident about the size, and not confident at all that it generalises past the case in the first post.

23 likes 13mo

s.poulsenTL3Regular30 Jul 2025#48

On emergency department visit I would separate what is worth knowing from what is worth acting on. The first list is long and the second is short, and conflating them is how threads get heated.

24 likes 12mo

r.sobczakTL217 Aug 2025#55

k.karlsen, post #39: Marking my uncertainty on emergency department visit explicitly. I am confident about the direction, much less confident about the size, and not confident at all that it generalises past the case in the first post. Go to post

Gallbladder symptoms during rapid weight loss are described in this class and are also associated with rapid weight loss generally. Both can be true.

That is a description of practice, not a recommendation of it.

28 likes in reply to #39 11mo

g.pemberton_ukTL3Regional · UK1 Sep 2025#61

The most useful contribution to this subcategory is a completed account: what happened, what was done, and what the outcome was.

The confident version of this sentence would be wrong, so here is the hedged one.

31 likes 11mo

Read the full topic (63 posts)

This topic was referenced in

Where to report an adverse event officially, by regionSafety › Adverse events · 2 replies

Suggested topics

Topic	Participants	Replies	Views	Activity
Documenting an adverse event properly Safety › Adverse events gallbladder delayed gastric emptying vomiting hypoglycaemia Wiki Closed On the subject in the title: Documenting an adverse event properly Working notes rather than a conclusion. Asking about documenting an adverse event on behalf of the question I keep seeing asked badly,…	+6	10	2.8k	10mo
Signs of dehydration worth acting on Safety › Adverse events gallbladder delayed gastric emptying pancreatitis vomiting Solved Signs of dehydration worth acting on — setting out what I have, and where I think it stops being reliable. Signs of dehydration worth acting, from the point of view of someone who has read the documentation…	+34	38	5.9k	21mo
How this community escalates rather than diagnoses — does this still hold? Safety › Adverse events pancreatitis delayed gastric emptying hypoglycaemia vomiting Solved Wiki The question in the title: How this community escalates rather than diagnoses — does this still hold? I will give what I have already checked below so nobody repeats it. Working notes on community escalates…		4	90	29d
Where to report an adverse event officially, by region Safety › Adverse events pancreatitis gallbladder vomiting hypoglycaemia Solved Where to report an adverse event officially, by region Writing it up because I had to work it out twice and would rather nobody else did. Reporting an event with the dates and the sequence, because…		2	27k	1h
Persistent vomiting and the threshold for seeking help — one year on Safety › Adverse events hypoglycaemia vomiting gallbladder delayed gastric emptying Persistent vomiting and the threshold for seeking help — one year on Writing it up because I had to work it out twice and would rather nobody else did. I would like to disagree carefully with the settled view…	+39	43	596	19mo

Related topics — sharing the tags gallbladder, hypoglycaemia, pancreatitis

Topic	Participants	Replies	Views	Activity
Alcohol: what is documented and what is folklore — the long version Practice › Interactions insulin needs a source delayed gastric emptying metformin Solved Alcohol: what is documented and what is folklore — the long version — setting out what I have, and where I think it stops being reliable. A narrow question about Alcohol, deliberately narrow, because the…	+9	13	7.3k	6mo
Pancreatitis history and the risk calculus — a second dataset Safety › Contraindications thyroid C-cell question disordered eating pancreatitis Pancreatitis history and the risk calculus — a second dataset Writing it up because I had to work it out twice and would rather nobody else did. Posting a small dataset on Pancreatitis history. It is mine, it…	+24	28	36k	16mo
Documenting an adverse event properly — the long version Safety › Adverse events delayed gastric emptying pancreatitis hypoglycaemia gallbladder Posting this under the heading it deserves: Documenting an adverse event properly — the long version Everything below is what sits behind that. A narrow question about Documenting an adverse event,…	+1	5	4.8k	14mo
Coming back to: Delayed gastric emptying and oral medication absorption: which drugs matter Practice › Interactions hypoglycaemia metformin insulin needs a source Solved Delayed gastric emptying and oral medication absorption: which drugs matter Writing it up because I had to work it out twice and would rather nobody else did. Reading back through what has been written here…	+63	74	11k	1d
Absolute versus relative contraindications Safety › Contraindications pregnancy & planning delayed gastric emptying pancreatitis On the subject in the title: Absolute versus relative contraindications Working notes rather than a conclusion. Proposing that absolute versus relative contraindications deserves a maintained page rather than…	+4	8	23k	8mo