CPC Case (Surgery)
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CPC Case (Surgery)
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Hi all, Can anybody help us this case? DF, a 26 years old male was working when he experienced gnawing abdominal pain which gradually increase in intensity, sometimes being on and off ass
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CPC Case (Surgery)
posted at 18/10/2012 2:34 PM BST
on bmj.com
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Posts: 2
First: 18/10/2012 Last: 19/10/2012 |
Hi all, Can anybody help us this case? DF, a 26 years old male was working when he experienced gnawing abdominal pain which gradually increase in intensity, sometimes being on and off associated with vomiting and fever. patient is a non-diabetic and Non-asthmatic. No food and drug allergies. Patient had the following vital signs-Bp-120/80 HR- 95/min RR- 26/min T: 37.9C Abdominal Distended, (+) direct tenderness of all quadrants (-) rebound tenderness, ill-defined masses on all quadrants. Impression? Diffential Diagnosis? Thank you.. |
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Re: CPC Case (Surgery)
posted at 18/10/2012 11:17 PM BST
on bmj.com
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Posts: 11
First: 18/10/2012 Last: 3/11/2012 |
The ill defined masses on all quadrants might be the greater omentum/enlarged lymph nodes that are trying to guard off active infection sites. The presence of Fever seconds an infective pathology. Can the patient localise the pain to any specific quadrant or is it generalised like the tenderness? I would like to know where the patient lives. This significantly affects the list of differential diagnoses. The patient is not having any cramps, I believe? |
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Re: CPC Case (Surgery)
posted at 19/10/2012 2:26 AM BST
on bmj.com
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Posts: 2
First: 18/10/2012 Last: 19/10/2012 |
In Response to Re: CPC Case (Surgery): The ill defined masses on all quadrants might be the greater omentum/enlarged lymph nodes that are trying to guard off active infection sites. The presence of Fever seconds an infective pathology. Can the patient localise the pain to any specific quadrant or is it generalised like the tenderness? I would like to know where the patient lives. This significantly affects the list of differential diagnoses. The patient is not having any cramps, I believe? Posted by phoeniX It could be the enlarge lymph nodes. Do you have any impression? This is the only data that are given to us. Can you help us with this?
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Re: CPC Case (Surgery)
posted at 23/10/2012 4:33 PM BST
on bmj.com
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Posts: 11
First: 18/10/2012 Last: 3/11/2012 |
In Response to Re: CPC Case (Surgery): In Response to Re: CPC Case (Surgery) : It could be the enlarge lymph nodes. Do you have any impression? This is the only data that are given to us. Can you help us with this? Posted by Inspiron We once saw a case during our surgery rounds who was a middle aged man presenting with generalised swellings over the abdomen and h/o fever. He was actually having Extra Pulmonary Tuberculosis with the enlarged Lymph nodes presenting as masses.
However, your case may have an altogether different differential. Any idea about the epidemiological factors of your case? |
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