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Re: Abdominal pain From: Bernard Cristalli (bcrist@club-internet.fr) Thu Dec 11 11:06:43 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Malcolm Griffiths: "Re: treatment of mild preeclampsia" Previous message: Ricardo Savaris: "Re: pre eclampsia" Maybe in reply to: Ricardo Savaris: "Abdominal pain" Next in thread: ATFSOCCER: "Re: Abdominal pain" Ricardo Savaris wrote: > > Hi listers, > > Yesterday afternoon, a patient came into my office fro an emergency > consultation (I really dont like this emergencies, I am at my office and I > cannot provide much help there, and most of the times she ends up at the > E.R.), but here is the case: > > 32 y-old, gesta 3 para 2 , 1 abortion, started yesterday morning with > intense colic pain starting on her back and goes to the front. The pain > moved, afterwords to the supra pubic region. The pain is like labour pain, > no relief position, last for few minutes and disapear. At the same time she > started with an abnormal uterine bleeding, not intense. No use of drugs or > fever. Her menses are regular 28 days cicles, 7 days of menses. > LMP: November, 20th no contraceptive method since quimioterapy > Medical past history: Breast cancer 6 years ago, sectorectomy + radioterapy > + quimioterapy. > No history of urinary stones > > On the physical exam: > > No tenderness on her back. > Abdominal defense, and rebound tenderness. > Vaginal examination: pain in uterine mobilization, no adnexial pain, uterus > in normal size. After the exam she started with the pain. > > Ordered FBC, Urine analisis and Sedimentaion Rate (I sent her to E.R.) > FBC: Hb 13 Leucocytes: 4.800 > Urine analisys: all in normal range, 1-2 leuc/field, no bacteria, 1 blood > cell/field > > At the E.R. they asked for a pregnancy test and discharge to home. No > chance for nephrolithiasis. She is still with this ciclic pain. > -- Other exams? US ? X-rays ? Looks like 'good-old-times-home-made-abortion' Any chance for it? If not I would vote for a adnexal torsion, but what about the bleeding?Ricardo Savaris wrote: -- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm Next message: Malcolm Griffiths: "Re: treatment of mild preeclampsia" Previous message: Ricardo Savaris: "Re: pre eclampsia" Maybe in reply to: Ricardo Savaris: "Abdominal pain" Next in thread: ATFSOCCER: "Re: Abdominal pain"

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