UNFINISHED CASE – A WORK IN PROGRESS
History of Present Illness:
A patient in their early-60’s with a history of hep-C presents to the hospital with generalized abdominal pain that is more severe in the epigastric and left upper quadrant with nausea, sweats and near-syncope but no vomiting. He denies any diarrhea chills or melena. He denies any chest pain or shortness of breath but the pain does go up towards his left chest.
Vital Signs & Physical Exam:
Vital signs are normal. Physical exam is also normal except for…
Initial Diagnostic Testing:
- CBC: normal except for WBC 13 but CRP normal
- Chem-7: normal except for lactate of 2.2 and HS trop about 3 times the URL
- Imaging: see CT scan below
What does the CT show?
- A) Abscess
- B) Bleeding
- C) Cholecystitis
- D) Diverticulitis
- E) Normal CT, admit for MI
SCROLL DOWN FOR ANSWERS & 1-MINUTE CONSULT
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ANSWER:
- A) Abscess
- B) Bleeding
- C) Cholecystitis
- D) Diverticulitis
- E) Normal CT, admit for MI
1-Minute Consult on this topic: Click HERE and scroll to page XX.
CASE CONCLUSION: Went to IR for coil embolization of bleeding pseudoaneurysm off of gastroepiploic artery. Stress test was normal
CASE LESSONS:
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