Abdominal Pain Plan
Relief
Time
Percocet
Warm Compress
Morphine push
Symptoms
light with some sensation of constipation
Some diarrhea
Vomit
Light amounts with some relief
Intense Pain just below sternum
Pain is treated with pain meds and subsides after a few hours.
Most likely
Gallstones
Wants to run MRCP to examine the bile ducts in the gallbladder.
Doctor thinks this the most likely and that my episodes may have been caused by passing gallstones.
Diagnostics
Recommend MRCP
Examines the bile ducts and may detect presence of gallstones.
Concern: 6"metal in distal 3rd of right arm. Will this cause a problem with the MRCP>?
Concern: Cost
Endoscopy 3/20
ultrasound 3/15
Clear
Blood Work 3/14
celiac- clear
H. Pylori-Clear
Dr Geraghty Visit 3/1
Discussed recent visits to ER. Tried to build a diagnostics plan but got recommendation to contact GI Specialist ( Dr. Fierman ) for further consultation .
Subsequent Call to Dr Fieman's office yielded appointment with PA on 3/15
Contacted Dr. G's office three times to attempt to get an appointment sooner than 3/15 or recommend another GI Specialist.
Cursory Vitals Check
ER Visit 3/1
ER Visit 2/23
Urine Sample
Blood work
CT Scan
Chest X-Ray
Dark spot upper right portion of lung
Negative
Causes
Pneumothorax
Pneumonia
Pleurisy
Pericarditis
Peptic Ulcer
Upper endoscopy
Non ulcer stomach pain
Non-Hodgkins Lymphoma
Mesenteric Ischemia
The only symptom associated is abdominal pain.
Heart Attack
GERD GastroEsophageal Reflux Disease
Hepatitis
only abdominal pain
Angina
Heart scan shows Zero blockages
Uremia
Mostly a consequence of kidney failure, If that is the case, other indicators should be present to indicate such,
Thoracic Aortic Aneurism
Not likely-Chest X-Ray was clear
Mesenteric Thrombosis
Would have been found in CT Scan
Diabetic Keto acidosis
Blood work eliminates
Appendicitis
Physicalpalpations and CT Scan
Possible but most signs absent
Intestinal Obstruction
Adhesion history
Cholongitis
Pancreatitis
Usually from gallstones or heavy alcohol use
10-15% have unknown cause
Does blood work show presence of these two enzymes: amylase and lipase
Cholecystisis
Duodenitis
