How can you joke when we’re mere days away from MAGA promoting hydrogen peroxide baths for colicky babies? Think about the stupid babies!

🎵🎶🎵 We drove the whooolleee dammmnnnn dayyyy across Kansas 🎶🎵 (with a two month old colicky baby Or whatever @JoeStammBand said Zaxby's and beer for supper. Blomeyer, MO tomorrow. #WeAintNeverBeenNowhereTour

*yawn* Carney effectively delegates duties to ensure QP proceeds unfettered. Carney’s record speaks for itself and requires no “defending.” You, however, should defend your colicky child’s attitude while collecting $200,000.00 of our tax dollars to pretend at leadership.

The PM is providing Canadians with enormous value on his expenses. What are the CONs doing beyond burning through $200,000.00 per head for whining like colicky children and disparaging Canada to weaken our sovereignty?

Your early stage product is like a needly colicky baby! If you are a parent or have been around a child, you know what I mean. Happy to celebrate the small wins at @MiyaraWome linkedin.com/posts/miyara-he…

👉 Is the patient stable or unstable? Before making a diagnosis, look for red flags: Hypotension Tachycardia Fever/sepsis Guarding or rigidity GI bleed Altered mental status Severe dehydration These patients need resuscitation first, diagnosis second. Then localize the pain anatomically: 📍 RUQ → hepatobiliary causes Think cholecystitis, cholangitis, hepatitis 📍 Epigastric pain Think pancreatitis, peptic ulcer disease, even myocardial infarction 📍 RLQ pain Think appendicitis first, but never forget ectopic pregnancy or ovarian torsion in females 📍 LLQ pain Diverticulitis, colitis, renal stones 📍 Diffuse abdominal pain This is where dangerous diagnoses hide: Peritonitis Bowel obstruction Mesenteric ischemia DKA Severe gastroenteritis History matters more than most investigations: Sudden vs gradual onset Colicky vs constant pain Vomiting, constipation, diarrhea, jaundice, urinary symptoms Surgical history Drug history LMP/pregnancy possibility in females Examination should never be rushed: Distension Guarding Rigidity Rebound tenderness Hernias Bowel sounds PR exam when indicated And one important rule: Not all abdominal pain is abdominal pathology. MI, pneumonia, DKA, porphyria, hypercalcemia, and even sepsis can present primarily with abdominal pain. Basic investigations that save lives: CBC Electrolytes LFTs/RFTs Urinalysis Pregnancy test Lipase/amylase ECG Imaging depends on suspicion: Ultrasound → biliary/gynecologic pathology X-ray → obstruction/perforation CT abdomen → unclear acute abdomen The biggest mistake juniors make is trying to memorize hundreds of causes. Experienced clinicians do something simpler: 👉 Rule out life threatening causes first 👉 Localize the pain 👉 Think systemically 👉 Reassess repeatedly

lol... Canada is becoming the economic equivalent of Sweden as it emerges from this turbulent dynamic of global power restructuring, driven by the U.S. abdicating its leadership. People who understand wealth see massive opportunities. Those who don’t panic like colicky children.

Feed cows this morning, yellow horse acting colicky so I took him tying fence clips.

🚨 7 Causes of Acute Abdomen 1️⃣ Appendicitis 🔹 Periumbilical → RIF pain 🔹 Nausea, fever 💎 McBurney tenderness 2️⃣ Cholecystitis 🔹 RUQ pain 🔹 Fever, vomiting 💎 Positive Murphy sign 3️⃣ Pancreatitis 🔹 Severe epigastric pain → back 🔹 Nausea, vomiting 💎 ↑ Lipase/Amylase 4️⃣ Small Bowel Obstruction 🔹 Colicky pain 🔹 Distension, vomiting 🔹 Constipation 💎 Air-fluid levels on X-ray 5️⃣ Perforation 🔹 Sudden severe pain 🔹 Guarding, rigidity 💎 Free air under diaphragm 6️⃣ Abdominal Aortic Aneurysm (AAA) 🔹 Abdominal/back pain 🔹 Pulsatile mass 🔹 Hypotension if ruptured 💎 Think AAA in older smokers 7️⃣ Mesenteric Ischemia 🔹 Severe pain out of proportion 🔹 Nausea, vomiting 💎 AF raised lactate ⸻ 🩺 Acute Abdomen Approach ➊ History Pain site, onset, radiation ➋ Examination Vitals, guarding, rigidity ➌ Investigations FBC, CRP, LFT, Lipase, Lactate US/CT Abdomen ➍ Management IV fluids → Analgesia → Surgical review ⸻ 🚩 Red Flags 🔴 Shock/Hypotension 🔴 Guarding & Rigidity 🔴 Persistent Vomiting 🔴 Fever & Tachycardia 🔴 Abdominal Distension ⸻ 🧠 Mnemonic: ACPSPAM A – Appendicitis C – Cholecystitis P – Pancreatitis S – SBO P – Perforation A – AAA M – Mesenteric Ischemia ⸻ 📚 Master Surgery the High-Yield Way with the MedicoNotes Surgery Book. 🌐 mediconotes.com #Surgery #AcuteAbdomen #MRCS #USMLE #PLAB

Colicky CONs; the whiniest and pettiest creatures on the planet are so pathetic that they cry about a guy doing his job by giving Canadians hope and results that include trade surpluses and economic growth, while including real investments in lowering their costs of living.

They're throwing a temper tantrum Pull them off the TIT, and they cry like colicky babies.

Have you ever had a colicky baby? One who cries for days and days?

Answer: C. Intussusception Comment: "Currant jelly stools" are classically associated with Intussusception. 🍇🩸 🔑 Key features of intussusception: Intermittent, severe colicky abdominal pain Vomiting

He seems colicky now

It will be alright. I am here if you ever need any tips. Valarr was quite colicky when he was a baby.

Colicky, I am guessing?

dood... nice selective editing, but I specifically cited membership advantages. You can invent whatever horseshit makes you feel better, but it’s just the same disingenuous nonsense that a colicky child indulges in when demanding attention.

Dang, but stupid, colicky children just gotta be colicky all day and night.