abdominal pain/hypoxia

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[Unexpected detection of hypoxemia when consulting for abdominal pain in a pediatric emergency unit].

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Unexplained hypoxia in a woman presenting with acute on chronic abdominal pain.

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A 75-year-old with abdominal pain, hypoxia, and weak pulses in the left leg.

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An unusual cause of hypoxia: getting to the heart of the matter.

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A 63 year old female presented to hospital with progressive exertional dyspnoea over a 6 month period. In the year preceding her admission, she reported an intercurrent history of abdominal pain, diarrhoea and weight loss. She was found to be hypoxic, the cause for which was initially unclear. A

Diffuse alveolar haemorrhage and severe hypoxemia from Strongyloides stercoralis hyperinfection syndrome.

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Strongyloides stercoralis hyperinfection syndrome is a rare, yet highly fatal disorder. It occurs most commonly in immunocompromised patients. We report a case of a 36-year-old Ethiopian female who presented with abdominal pain and hypotension. Shortly thereafter, she developed acute respiratory

Arterial hypoxia in acute pancreatitis.

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Severe arterial hypoxia while breathing ambient air (Pao2 less than 60 mm Hg) was recorded in 38 (45 per cent) of a group of 84 patients with acute pancreatitis when arterial blood gas monitoring was performed during the first week of illness. This contrasted with an incidence of 19 per cent severe

Hypoxia and chest pain due to acute constipation: an underdiagnosed condition?

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An obese, previously healthy, 10-year-old boy presented with acute respiratory distress, chest, and abdominal pain. He was hypoxic and dyspneic in the emergency room. The abdomen was distended and tender, and the rectum was full of hard stool. Following catharsis, he made a complete recovery with

[Severe upper abdominal pain during a long distance flight].

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METHODS A 43-year-old woman of Ghanaian origin presented with severe upper abdominal pain starting on a long distance flight. Physical examination revealed tenderness on palpation in the left upper abdomen and flank. There was no report of pre-existing conditions or permanent medication in the

An interesting case of profound hypoxemia.

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A 58 year old male with a history of cirrhosis (hepatitis B and C), a long smoking history, and a recently diagnosed high-grade transitional cell carcinoma of the bladder wall presented three days after a biopsy procedure with abdominal pain, nausea, and new hypoxemia on room air. The chest

Non hypoxia-related splenic infarct in a patient with sickle cell trait and infectious mononucleosis.

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Splenic infarction in patients with sickle cell trait is usually related to hypoxic conditions, while non-hypoxia-related infarcts are extremely rare. We report on a case of a 17-year-old male patient, living at sea level, who developed a severe left upper quadrant abdominal pain during the course

[Forced treatment of a periappendicular abscess in a paranoid schizophrenic].

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A paranoid schizophrenic 34-year-old man presented with acute lower right abdominal pain. A periappendicular abscess was discovered and the septic patient was offered drainage - which he refused. He was found to be psychotic with auditory hallucinations and a lack of insight into the severity of his

International air travel: a risk factor for attacks in acute intermittent porphyria.

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Five patients are reported with acute intermittent porphyria in whom attacks were apparently precipitated by international air travel. In four subjects this was the initial presenting attack and in a fifth the cause of an acute relapse in a patient requiring regular haem arginate prophylaxis.

Electromagnetic-guided placement of nasoduodenal feeding tubes versus endoscopic placement: a randomized, multicenter trial.

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OBJECTIVE Electromagnetic-guided placement (EMP) of a nasoduodenal feeding tube by trained nurses is an attractive alternative to EGD-guided placement (EGDP). We aimed to compare EMP and EGDP in outpatients, ward patients, and critically ill patients with normal upper GI anatomy. METHODS In 3

Mass ethion poisoning with high mortality.

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BACKGROUND Fifteen people who consumed a meal during a social ceremony at a remote farm developed symptoms and signs of organophosphate poisoning. METHODS Information was gathered from villagers and doctors at the primary health center and district hospital. Serial measurements of plasma and red

Splenic injury as a complication of colonoscopy: more common than we think?

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Splenic injury during colonoscopy is thought to be rare. The case reported here would not have been diagnosed if the patient had not presented with a pleural effusion. It is likely that this complication may present with differing severities of clinical features with a significant proportion being

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