Continuity mistake: When Lois and Kitty Kenarban (Stevie's mom) are at the table in the restaurant, while Hal and Abe sit at the bar, things on the table change position or disappear and reappear between shots. Same thing happens at Malcolm's table with Reese and Stevie.
Plot hole: There is no way that Malcolm would have been able to write that message on his stomach. He gets found by the nurse and then we see him in a room getting some medicine and then he is in the operating room.
Continuity mistake: In the side of the story when Lois takes the boys, Malcolm has some kiddy bumpers put in to help him bowl. In the next scene when Reese is about to tell Beth the joke, you can see the lane which Malcolm was just at but there are no bumpers in the gutters. Then later when Malcolm stands up to Lois they are back in the gutters.