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Re: Interesting puzzling case From: Andrew Folley (agfolley@hotmail.com) Wed Aug 30 17:51:44 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Ob: When to do a first" Previous message: COMPREMICRO: "INTEL CELERON D - R$ 789,00 - Confira !" In reply to: ENDODOK@aol.com: "Interesting puzzling case" Next in thread: Larry Glazerman: "Re: Interesting puzzling case" Possible walled off subphrenic abcess. Acute cholecystitis Check for clostidium difficile andrew >From: ENDODOK@aol.com >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: Interesting puzzling case >Date: Wed, 30 Aug 2006 10:06:42 -0500 > >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 Next message: Garry E. Siegel, M.D.: "Ob: When to do a first" Previous message: COMPREMICRO: "INTEL CELERON D - R$ 789,00 - Confira !" In reply to: ENDODOK@aol.com: "Interesting puzzling case" Next in thread: Larry Glazerman: "Re: Interesting puzzling case"

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