Re: LEFT upper quadrant pain

From: DoctorJoe@aol.com
Mon Feb 4 18:03:54 2008


In a message dated 2/4/08 6:25:15 PM, dr99645@yahoo.com writes:

> Today, now two weeks later and still having pain.  Better exam and I do
> feel the tip of the spleen and it is tender to palpation.  She does have an
> increase in pain over the rectus muscles when she goes from lying flat to a
> sitting position.  Specifically, she is tender just where the rectus and the
> transversus/oblique intersect.
>  
> Since it was there before the pregnancy, I think I can discount the
> transfusion and reactive thromobcytosis as a cause.
>  
> Does anyone else have any better suggestions other than muscle strain of 2
> year duration???
>

Is the pain high enough to be pleuritic, perhaps from pleural adhesions? Is the pain worse on deep inspiration?

Joe P.

0000025 48)





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