Clinical Case Database / Category: Case Based Discussion

Latrogenic abdominal pain

Publication details

Vijay Joshi MBBS MD, Shahid Noor FRCS FCEM, Ashis Banerjee MS FRCS FCEM
Foundation Years Journal, volume 2, issue 1, p.32 (123Doc Education, London, January 2008)

Abstract

An 82-year-old woman was admitted from the outpatient clinic for evaluation of progressive breathlessness over the preceding four months. Examination revealed bilateral pitting oedema from the ankles to the knees, with raised jugular venous pressure. A tricuspid pansystolic murmur was noted on auscultation. Past medical history revealed atrial fibrillation, type 2 diabetes mellitus, hypertension and chronic renal failure. She had been investigated for iron deficiency anaemia four years previously, which was attributed to angiodysplasia of the midgut, and treated by electro-cauterisation. At the time of admission she was on gliclazide, bumetanide, diltiazem, pioglitazone, losartan, simvastatin. Anticoagulation for atrial fibrillation was withheld because of the previous history of angiodysplasia.

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Authors

Vijay Joshi MBBS MD

Registrar in Integrated Medicine
Chase Farm Hospital

Shahid Noor FRCS FCEM

Consultant Physician
Chase Farm Hospital

Ashis Banerjee MS FRCS FCEM (Corresponding author)

Consultant in Emergency Medicine
Chase Farm Hospital
The Ridgeway
Enfild
EN2 8JL

References

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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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