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10 Posts

dr.roh
Forum Guru

Topics: 159
Posts: 361

01/14/08 - 07:53 PM

Pt. presents with nausea, acute abdominal pain, below sternum and skin yellowing

Vitals: Temp. 100.2, BP 74/40, pulse--145 RR 28 and 5'6'', 190 ilbs.

PE: Bilateral hyperdynamic carotid upstrokes

Liver palpable, non-tender liver edge, Rectal--constant ooze of bright red blood

Neuorological-pt. confused and sometimes unresponsive

--next day pt. developed oliguria and passed blood clots rectally & lethargic.

Whats the diagnosis?

neuroblastoma
Forum Guru
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Topics: 100
Posts: 1,018

01/14/08 - 09:22 PM

acute cholangitis worsening case with hypotension and acute renal failure.

hepatorenal syndrome???

tamerbashir
Forum Elite

Topics: 20
Posts: 284

01/14/08 - 09:37 PM

i don't know why i went that far lol

just after first look , said it may be ruptured aortic aneurysm erodes GIT

Aashi
Forum Moderator
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Topics: 113
Posts: 1,028

01/14/08 - 09:55 PM

Inflammatory Bowel disease?------------>( G.I bleed)Ulcerative colitis association with Sclerosing Cholangitis( Triad of RUQ tenderness, Fever and Jaundice + hypotension and ARF)

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drduck
Forum Guru

Topics: 82
Posts: 529

01/15/08 - 04:31 AM

what a nice Q.
dont know.....so many things coming into mind
i feel it is the case of portal hypertention complicating into hepatorenal synd.

but why there will be clots per rectum??

cud be a GI tumor mets into liver???
i dont know plz post the answer fast...

RX 135
tormenta
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Topics: 23
Posts: 522

01/15/08 - 12:23 PM

ischemic colitis..following afib

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neurom
Forum Senior
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Topics: 2
Posts: 127

01/15/08 - 12:34 PM

liver failure and encephalopathy?

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sherry39
Forum Junior

Topics: 3
Posts: 105

02/26/08 - 05:05 AM

hemolytic uremic syndrome....yellowing due to hemolysis.,

guangyu
Forum Elite

Topics: 29
Posts: 308

02/26/08 - 09:12 AM

cirrhosis with encephalopathy and hepatic-renal syndrome

dr.roh
Forum Guru

Topics: 159
Posts: 361

02/26/08 - 05:33 PM

#10

it is Encephalopathy & hepatic-renal syndrome

sorry took to long to answer, got entagled in things smiling face

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