A 26-year-old sports store manager comes to clinic, complain…
A 26-year-old sports store manager comes to clinic, complaining of severe right-sided abdominal pain that has increased in intensity over the last 6 hours. He states the pain is worse when he coughs. He began having a stomachache yesterday, with a decreased appetite, but today the pain seems to be just on the lower right side. He has had some nausea and vomiting but no constipation or diarrhea. His last bowel movement was last night and was normal. . On examination he appears ill and is lying on his right side. His temperature is 100.4 and his heart rate is 110. His bowel sounds are decreased and he has rebound and involuntary guarding, one third of the way between the anterior superior iliac spine and the umbilicus in the right lower quadrant. His rectal, inguinal, prostate, penile, and testicular examinations are normal. What is the most likely cause of his pain?
Read DetailsMrs. M. is a 41-year-old female with a history of diabetes w…
Mrs. M. is a 41-year-old female with a history of diabetes who presents with foot pain and numbness. You initially suspect peripheral neuropathy, but while examining the foot you notice the patient experienced shooting pain to her 3rd and 4th toes when you press on the plantar interspace and squeeze the metatarsals with your other hand. You non suspect which diagnosis
Read DetailsAn obese 42 year old female presents with steady aching pain…
An obese 42 year old female presents with steady aching pain to RUQ of the abdomen with nausea and vomiting. She states that the pain has been constant for several days and is now moving into her right shoulder. She reports that it hurts to take a deep breath. She states that she had recently started doing hot yoga, but she had to stop because of the pain. Upon physical examination you find the patient stops breathing on inspiration when you palpate the RUQ with your thumb and fingers hooked under the costal margin. What does this indicate? :
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