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Re: Interesting puzzling case From: R. Daniel Braun (rd.braun@gmail.com) Wed Aug 30 13:02:52 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: quinzanimultimarcas: "TROQUE SEU CARRO AGORA !" Previous message: Dr Eberhard Lisse: "Re: Interesting puzzling case" In reply to: ENDODOK@aol.com: "Interesting puzzling case" Next in thread: Andrew Folley: "Re: Interesting puzzling case" Cholecystitis. Dan On 8/30/06, ENDODOK@aol.com <ENDODOK@aol.com> wrote: > > Interesting puzzling case: > > 39 yr old G2P2 (C/Sx2) underwent simple LSH for adenomyosis, discharged 4 > hrs.post-op. Recuperation rapid. Awoke 2AM p.o. day 14, with epigastric > and RUQ pain, and 2 diarrheal stools. No chills/ fever/ anorexia/, nausea or > vomiting. Pt has very long Hx. of "stomach problems", work-up by GI "delayed > gastric emptying", Rx with Reglan and Zantac. Sx. occur a couple of times > per year, slow response to above meds. > > Pt. lives 35 miles away, went to her local community > hospital that evening as pain increasing. P/E totally negative- Vitals > normal, abdomen soft, non-tender, no distention, no guarding, no rebound, BS > wnl. Pelvic unremarkable- no mass/ induration / tenderness/ local heat ( as > one can find with a hot TOA). Hct 40%, WBC 19,000. > > Your thoughts?? > > Glenn Bradley MD > -- R. Daniel Braun "The way to health is an aromatic bath and scented massage everyday". Hippocrates Next message: quinzanimultimarcas: "TROQUE SEU CARRO AGORA !" Previous message: Dr Eberhard Lisse: "Re: Interesting puzzling case" In reply to: ENDODOK@aol.com: "Interesting puzzling case" Next in thread: Andrew Folley: "Re: Interesting puzzling case"

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