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Abdominal pain and 14 weeksFrom: RICARDO FRANCALACCI SAVARIS (savaris@orion.ufrgs.br)Fri Oct 25 07:04:40 1996
Dear all, About the case, the patient escape from the hospital, few days later, but her mother brought her back. Here is the rest of the case. When I was on a Sunday with her, my first hypothesis was intestinal suboclusion by ascaris. The gastroenterologyst considered a withdrawal drug syndrome.I wonder to give her an enema, but I was afraid to rupture a loop if she had a volvus. All exams for HIV, Hepatitis B, Lues, stools samples, were taken. The Abdominal X-ray was asked and it was normal. I took this patient receiving Ampicillin because my collegue was treating her as urinary infection, so I decided to keep it. After all, I started with mineral oil and piperazine sulfate. I left the hospital and kept track with this patient. She stayed for a week in observation and she was delivered from the hospital asymptomatic. Strangely, according to the nurses, she did not eliminate any ascaris. Anyway, I learned from this case, as you probably. Ricardo Savaris,MD,MSc Porto Alegre, RS Brazil e.mail: savaris@orion.ufrgs.br Tel.: 55 51 981 2272
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