13.07.2015 Views

Staging Laparoscopy with Laparoscopic Ultrasonography ...

Staging Laparoscopy with Laparoscopic Ultrasonography ...

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Patient ScenarioA 60 year old 275 pound man presents to the emergencyroom <strong>with</strong> abdominal pain. While entertaining friends thenight before, he developed a sharp, stabbing epigastric painacutely an hour after eating BBQ pork. Eventually the painradiated to the back and did not subside, prompting a visitto the ER early in the AM where he developed nausea,vomiting and generalized malaise. He has not defecatedsince but had voided a scant amount of tea-colored urine.He has not had any fever or chills. He does note that he hashad upper abdominal pain in the past, just not to the extentthat he sought medical advice.

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