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Barium Enema Examination in a Patient With Right Lower Quadrant Pain

Barium Enema Examination in a Patient With Right Lower Quadrant Pain History A 34-year-old man complained of poorly localized periumbilical pain, on the night before admission, which moved to the right lower quadrant. The patient was nauseated but denied vomiting, diarrhea, or constipation. The morning of admission, on physical examination, the patient's abdomen was tender in the right lower quadrant. There was no guarding or rigidity, and bowel sounds were normal. The evening after admission, the patient stated that the pain had ceased; on physical examination, the abdomen was no longer tender. A complete blood cell count done the morning of admission showed a hemoglobin level of 14.7 g/dL, hematocrit reading of 43.1%, and 14,300 WBCs per cubic millimeter, with a slight shift to the left. On subsequent blood cell counts obtained that evening and the following morning, the WBC counts dropped to 12,200/cu mm and 10,100/cu mm, respectively. A plain film of the abdomen was normal. Figures 1 and 2 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Barium Enema Examination in a Patient With Right Lower Quadrant Pain

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References (3)

Publisher
American Medical Association
Copyright
Copyright © 1981 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1981.03310300057024
Publisher site
See Article on Publisher Site

Abstract

History A 34-year-old man complained of poorly localized periumbilical pain, on the night before admission, which moved to the right lower quadrant. The patient was nauseated but denied vomiting, diarrhea, or constipation. The morning of admission, on physical examination, the patient's abdomen was tender in the right lower quadrant. There was no guarding or rigidity, and bowel sounds were normal. The evening after admission, the patient stated that the pain had ceased; on physical examination, the abdomen was no longer tender. A complete blood cell count done the morning of admission showed a hemoglobin level of 14.7 g/dL, hematocrit reading of 43.1%, and 14,300 WBCs per cubic millimeter, with a slight shift to the left. On subsequent blood cell counts obtained that evening and the following morning, the WBC counts dropped to 12,200/cu mm and 10,100/cu mm, respectively. A plain film of the abdomen was normal. Figures 1 and 2

Journal

JAMAAmerican Medical Association

Published: Feb 6, 1981

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