 |
|
Image of the Month—Quiz Case
Dinesh N. Ratnapala, MB, ChB;
David Lisle, FRACR;
Elizabeth Munn, FRCPA;
Andreas L. Lambrianides, FRACS
Arch Surg. 2009;144(11):1087.
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
INTRODUCTION
A 74-year-old man was admitted to the hospital with dehydration and a 6-week history of nausea, anorexia, watery diarrhea with associated crampy abdominal pain, and weight loss. Medical history included hypertension and paroxysmal atrial fibrillation with regular medication consisting of clopidogrel bisulfate and atenolol.
On examination, the patient was in sinus rhythm, was moderately dehydrated, had right-sided abdominal tenderness, and had no organomegaly or palpable masses. Digital rectal examination results were negative for blood. Laboratory tests showed moderate leukocytosis (white blood cell count, 15 600/µL [to convert to x109 per liter, multiply by 0.001]; with an elevated neutrophil count of 13 600/µL), an elevated C-reactive protein level (157 mg/L [to convert to nanomoles per liter, multiply by 9.524]), and an erythrocyte sedimentation rate of 32 mm/h. Arterial blood gas showed no lactic acidosis. Stool culture results . . . [Full Text of this Article]
What Is the Diagnosis?
Author Affiliations: Departments of Surgery (Drs Ratnapala and Lambrianides) and Medical Imaging (Dr Lisle), Redcliffe Hospital, and Queensland Medical Laboratories, Kippa-Ring (Dr Munn), Redcliffe, Queensland, Australia.
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
RELATED ARTICLE
Image of the Month—Diagnosis
Arch Surg. 2009;144(11):1088.
EXTRACT
| FULL TEXT
|
