Re: Difficutl diagnostic challenge

From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)
Tue Sep 16 12:06:12 2008


At Tue, 16 Sep 2008, Andrew Folley wrote: >

Any jaundice, hepatitis , acute fatty liver though they are usually not stable for 5 dasys. Generalized abdominal pain is not good still could be a chronic ruptured appendix, would not blame the surgeons for taking out a normal one in this case. If she has a bacterial infection she must have it walled off or localized otherwise she would be going down hill, chron's abcess also comes to mind.

--
                                 Take care, John




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