After a Wild Party, a 24-Year-Old Has Intense Abdominal Pain
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A 24-year-old man presents to the emergency department (ED) with sudden right lower quadrant abdominal pain, nausea, and vomiting. Before the onset of these symptoms, he was feeling well. The pain is constant and intense, limiting his movements. It radiates to the right flank but not to the groin. He says he does not have fever, weight loss, diarrhea, bloody stool, urinary symptoms, or gross hematuria. Thorough questioning reveals no recent trauma, extreme physical activity, infectious contacts, travel, or unprotected sexual intercourse.
His past medical history and a detailed family history are both unremarkable. He has no allergies and does not take any medications regularly. He specifically denies taking nonsteroidal anti-inflammatory drugs and acetaminophen. He does not smoke, but he drinks alcohol occasionally. He mentions using recreational intranasal cocaine. His last exposure was 4 days ago during what he describes as a “wild” party.
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Any views expressed above are the author’s own and do not necessarily reflect the views of WebMD or Medscape.
Cite this: Marie-Lee Simard, Alexandre Lafleur. After a Wild Party, a 24-Year-Old Has Intense Abdominal Pain – Medscape – Jul 08, 2021.
Resident in Internal Medicine, University Laval Faculty of Medicine, Quebec City, Quebec, Canada
Disclosure: Marie-Lee Simard, MD, has disclosed no relevant financial relationships.
Co-Chairholder of the Canadian Medical Association Educational Leadership Chair in Health Professions Education; Associate Clinical Professor, Department of Medicine, Université Laval; General Internist, Centre Hospitalier Universitaire de Québec – Université Laval, Quebec City, Quebec, Canada
Disclosure: Alexandre Lafleur, MD, MSc, has disclosed no relevant financial relationships.
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After a Wild Party, a 24-Year-Old Has Intense Abdominal Pain
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