NOTE: * = UNFINISHED CASE – A WORK IN PROGRESS

History of Present Illness:

A patient in their mid-30’s presents to the hospital with 2 days of pain and swelling in his belly button.  He is worried about a hernia.  He denies fever, vomiting or other complaints.

Vital Signs & Physical Exam:

Vital signs are normal.  Physical exam is also normal except for a halo of erythema around the umbilicus and tenderness there and within

What is the most likely diagnosis?

  • A) Hernia
  • B) Cellulitis
  • C) Patent urachus
  • D) Allergic reaction

SCROLL DOWN FOR ANSWERS & 1-MINUTE CONSULT

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ANSWER:

  • A) Hernia
  • B) Cellulitis
  • C) Patent urachus – CORRECT
  • D) Allergic reaction

1-Minute Consult on this topic: Click HERE and scroll to the BOTTOM of page 337.

 

CASE CONCLUSION: CT was read as negative.  Case discussed with urology who recommended Keflex and outpatient f/u for surgical repair

CASE LESSONS:

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