October 2017 critical care case of the month

Southwest Journal of Pulmonary and Critical Care

Ragland M¹  Welsh CH¹ 

[1]University of Colorado, Denver, CO USA

关键词: polyarteritis nodosa;    hepatitis B;    cardiomyopathy;    pulmonary edema;    abdominal pain;    testicular pain;    treatment;    tenofovir;    glucocorticoids;    plasma exchange;   

DOI  :  10.13175/swjpcc113-17

来源: DOAJ

【 摘 要 】

No abstract available. Article truncated at 150 words. History of Present Illness: A 42-year-old man with a history of intravenous heroin abuse and chronic hepatitis C infection presents to the emergency department (ED) with recurrent abdominal pain. The pain was dull, epigastric, and did not radiate. The pain worsened after eating, but the timing after eating that it worsened was inconsistent. He had nausea but no vomiting. His bowel movements were normal without constipation, diarrhea, or melena. He had presented to another ED multiple times with this same pain over the past six weeks. He does not know what the work-ups revealed, but was discharged from the emergency department each time. He received supportive care including fluids and analgesics, but the pain would always recur a few hours after returning home. He went to a third ED a few weeks ago with bilateral testicular pain after which he was discharged home with acetaminophen for pain. Past Medical History: …

【 授权许可】

Unknown