Main menu:

Google


LUQ Pain

UnFiNiShEd CaSe CoMe BaCk LaTeR

SCROLL DOWN FOR ANSWERS & 1-MINUTE CONSULT

History of Present Illness:

A 22-year-old female presents to the ED for a year of intermittent left rib and left upper quadrant pain with no associated symptoms. It has been worse recently but is not pleuritic or exertional and has no triggers. There is no associated vomiting, diarrhea, fever, dysuria, discharge, shortness of breath or other complaints.

Vital Signs & Physical Exam:

Vital signs are normal.   Physical exam is otherwise normal except for left anterior rib tenderness.  No rash

Initial Differential Diagnosis: Syphilis the great imitator, PE, gastritis, kidney stone

Initial Diagnostic Testing:

  • Labs: CBC, BMP, LFT, D-dimer, HCG all normal
  • Imaging: see below

 

 

QUESTIONS:

  1. What does the case image show?  
  2. What should you do next? 
  3. Want a 1-minute consult/tutorial on this case? 
  4. Want to know what happened with this patient?

SCROLL DOWN FOR ANSWERS & 1-MINUTE CONSULT

 

<<<<<<<<<<<<<<<<<<<<< ADVERTISEMENT & SPACER >>>>>>>>>>>>>>>>>>>>>

***************************************************************************

THE EMERGENCY MEDICINE POCKETBOOK TRIFECTA

Tarascan Emergency Department Quick Reference Guide

Get one of our publications, all designed specifically for Emergency Care Providers:

***************************************************************************

<<<<<<<<<<<<<<<<<<<<<<<<< END SPACER >>>>>>>>>>>>>>>>>>>>>>>>>

ANSWERS:

  1. What does the case image show?  The image shows mild splenomegaly.  Normal is <12cm in longest dimension with 12-14cm being borderline enlarged and >14cm definitely enlarged.
  2. What should you do next?  Refer for workup of cause
  3. Want a 1-minute consult/tutorial on this case?  See yellow area from sample page below.
  4. Want to know what happened with this patient?  See case conclusion below tutorial page.

1-1-Minute EM Consult on the topic for this case from the Emergency Medicine 1-minute Consult Pocketbook

CLICK HERE TO LEAR MORE ABOUT THIS BOOK

CASE CONCLUSION: Patient was referred to hematology for a work up of the cause.

CASE LESSONS:

:
Google
 
Web www.edinsight.com