Periaortitis Essay

HISTORY OF PRESENT ILLNESS: This 46-year-old gentleman with past medical history significant only for degenerative disease of the bilateral hips, secondary to arthritis, presents to the emergency room after having had three days of abdominal pain. It initially started three days ago and was a generalized vague abdominal complaint. Earlier this morning, the pain localized and radiated to the right lower quadrant. He had some nausea without emesis. He was able to tolerate p.o. earlier around

ABDOMEN: The lung basis appeared unremarkable. The liver, spleen, gallbladder, adrenals, kidneys and pancreas and abdominal aorta appeared unremarkable. The bowels seen on the study appeared thickened. Dilated appendix seen constant with acute appendicitis. Osseous structures of the abdomen appeared unremarkable. No free air was seen.

HISTORY OF PRESENT ILLNESS: Mr. Barua is a 42-year-old gentleman from Bangladesh who presents with chest tightness, shortness of breath, and tachycardia. Dr. J.K. McClain of cardiology is evaluating his heart condition. The patient has had the recent onset of hemoptysis. He was treated for tuberculosis in Bangladesh 15

On later reflection I realized I could have though about interstitial cystitis, appendicitis and renal calculi. My multiple hypotheses for this patient are presented in Table 1.

HISTORY OF PRESENT ILLNESS: This 46-year old gentleman with past medical history significant only for degenerative disease of the bilateral hips, secondary to arthritis presents to the emergency room after having had 3 days of abdominal pain. It initially started 3 days ago and was a generalized vague abdominal complaint. Earlier this morning the pain localized and radiated to the right lower quadrant. He had some nausea without emesis. He was able to tolerate p.o earlier around 6am, but he now

Physical Examination: General: The patient is an alert, oriented male appearing his stated age. He appears to be in moderate distress. Vital signs: blood pressure 132/78 and pulse 68 and regular. Temperature is 38.56 oC (101.4 oF). HEENT:Normocephalic, atraumatic. Pupils were equal, round, and reactive to light. Ears are clear. Throat is normal. Neck: The neck is supple with no carotid bruits. Lungs: The lungs are clear to auscultation and percussion. Heart: Regular rate and rhythm. Abdomen:Bowel sounds are normal. There is rebound tenderness with maximal discomfort on palpation in the right lower quadrant. Extremities: No clubbing, cyanosis, or edema.

fat, specially if associated with cystitis that could be incorrectly identified as tumor invasion. Vascular hyperaemia adjacent to the tumor could cause these abnormal signals

History of Present Illness: The patient is a 27-year-old male complaining of right lower-quadrant abdominal pain, nausea, and

the mitral valve 16 months ago and a Streptococcus mutans infection of the aortic valve 1 month ago.

If the infection of pelvic inflammatory disease does not get treated, it could lead to internal scarring that could cause constant pain. Or there also a risk of not being able

This is a rare systemic swelling of the large vessels and mostly affects women of child bearing age. Takayasu arteritis is defined as the granulomatous inflamation of the aorta and its major branches. We need to understand the nature of this disease and the medications to be taken in order to prevent complications. This disease is spreading worldwide at the rate of 2.6^million cases per year. It is observed mostly in Japan, China, Korea, Indian, Thailand, Singapore, Turkey, Israel and central south America as well. Most patients are aged from 4-63 years. Complications of the disease may lead to stroke, intracranial hemorrhage, seizures, ischemia, organ failure, occlusion, fetal injury, hypertension, retinopathy, reno-vascular hypertension and valvular heart disease. This is a chronic relapsing and remitting disorder, the overall survival rate is 90% for 10 years. 5 and 10 year survival rates are 69% and 36%. There is a strict management of cardiovascular risk factors. This disease makes one substantially morbid and may be life threatening. It may also lead to panarteritis with intimal proliferation. It usually lasts for many years. When it attacks women it attacks any or all major organs. This disease is in all parts of the world, although it is most prevalent in Asians.

Augmented intra-abdominal pressure - e.g., constipation, diarrhoea, pregnancy, benign prostatic hypertrophy, severe or chronic cough (e.g., lingering obstructive pulmonary

4. Rieckmann C.Urbanyi B, Hellberg K, Myocardial echinococcosis with perforation into the pericardium. J Cardiovasc Surg 1991;32:534- 8.

In this stage chronic inflammatory response is provoked, that results tissue destruction and, subsequently, the formation of fistulas, perirectal abscesses, strictures, rectal stenosis and scarring. Hemorrhoid-like swelling of obstructed lymphatic tissue may also ensue, which is known as

HPI (history of present illness) ALL CASES: OPD CSF AAA PAIN: OPD CSF LIQR AAA OPD CSF ABCDO FLUIDS: (Vomiting, Diarrhea, constipation, cough, vaginal discharge) O Onset of the symptom + precipitating factors P Progression D Duration C Constant /Intermittent S Settings F Frequency L Location of the symptom (forehead, wrist...) I Intensity of the symptom (scale 1-10, 6/10) Q Quality of symptom..BCDSPP(burning,Cramping,dull,Sharp,pulsating,pressure like) R Radiation of the symptom ( to left shoulder and arm) A Associated symptoms ( palpitations, shortness of breath) A Alleviating factors (sitting with my chest on my knees) A Aggravating factors (effort, smoking, large meals) A Amount B Blood C Color C