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Case Info
CaseName
DDx Case 2. Epigastric abdominal pain. Recurrent.
CaseDescription
50-year-old female who complaining of epigastric. She has been having "attacks" of abdominal pain over the last month, with about 3 "attacks" last up to 4 hours during this time. The last attack was 4 days previously. She reports that the attacks of pain often awaken her at night. The pain Is described as a severe cramping-like sensation that is very intense and steady for hours. Occasionally, the pain radiates to the right back. The pain is associated with emesis.
PhysicalExams
Vital signs. Check sclera color. Lungs are cardiac exams. Abdominal exam. Murphy sign. CVA;
Labs
CBC with dif; ALT/AST/bilirubin; Calprotectin; troponin/CK-MB; ESR/CRP; Fecal elastase; UA; FOBT;
ImagingStudies
US of Abdomen; CT with contrast of AB; Colonoscopy; Endoscopy; ECG;
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