A 27-year-old Man Presents To The Ed
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A 27-year-old Man Presents To The Ed| Ahmed Al-Kaisy |
Posted: August 14, 2008 11:48 am
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Taking History...  Group: Graduated Doctors Posts: 32 Member No.: 1373 Joined: December 28, 2007  |
A 27-year-old man presents to the ED with a 2-day history of hyperemesis with hematemesis. He complains of worsening epigastric pain, diarrhea, and myalgia. On examination, the patient is severely dehydrated and agitated, with tenderness to palpation noted in the upper chest and neck. The patient drank 21 cans of beer 3 days ago; his history reveals that he has vomited 30 times in the past 24 hours.
what is the most probable Dx? i found these cases in emedicine and i want to share them with u.... |
 
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| Dr.Leo1984 |
Posted: August 14, 2008 01:10 pm
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Auscultating... Group: Graduated Doctors Posts: 839 Member No.: 68 Joined: September 08, 2005 |
fulminant hepatic failure !?
thanks for sharing |
 
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| ali al-kafaji |
Posted: August 14, 2008 02:47 pm
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Diagnosing... Group: Graduated Doctors Posts: 1576 Member No.: 22 Joined: August 14, 2005 |
yeah i saw this case on the e-medicine...the dx was fad shee emra3bal mo?
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| Ahmed Al-Kaisy |
Posted: August 17, 2008 01:39 pm
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Taking History... Group: Graduated Doctors Posts: 32 Member No.: 1373 Joined: December 28, 2007 |
the diagnosis is Borhaav's syndrom (complete tear of the GE junction)...this hint in the history was that he has nomitted 30 times in the past 24 hours....
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| ali al-kafaji |
Posted: August 17, 2008 05:12 pm
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Diagnosing... Group: Graduated Doctors Posts: 1576 Member No.: 22 Joined: August 14, 2005 |
THANKS DOC.
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| Dr.Leo1984 |
Posted: August 18, 2008 01:39 am
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Auscultating... Group: Graduated Doctors Posts: 839 Member No.: 68 Joined: September 08, 2005 |
case n7sa 7eeeel
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| Nader |
Posted: August 31, 2008 03:49 am
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Taking History... Group: Graduated Doctors Posts: 30 Member No.: 1476 Joined: February 26, 2008 |
Mallory-Weiss syndrome complicated by repture of esophagues
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