Abdominal pain in a female adolescent: question

Abdominal pain in a female adolescent: question

  • نوع فایل : کتاب
  • زبان : انگلیسی
  • مؤلف : Abiodun Omoloja & Elizabeth Ey & Donald Nguyen & Leonardo Canessa
  • چاپ و سال / کشور: 2011

Description

A 16-year-old white female presented to the emergency department (ED) with complaints of multiple episodes of vomiting, colicky left flank, and lower quadrant abdominal pain for 2 days. She denied fevers, dysuria and, gross hematuria but complained of urinary frequency. A review of systems was unremarkable. Past medical history was significant for poorly controlled insulindependent diabetes mellitus and autosomal dominant polycystic kidney disease. Her last menstrual period was 2 weeks prior, and her other gynecological history was unremarkable. Vital signs, including blood pressure (BP) were normal. Physical examination was remarkable for non-specific mild left lower quadrant tenderness, and there was no costovertebral angle, rebound tenderness, or masses on palpation. Results of laboratory data are shown in Table 1.
DOI 10.1007/s00467-010-1558-2 Pediatr Nephrol (2011) 26:543–544 Received: 19 January 2010 / Revised: 12 April 2010 / Accepted: 26 April 2010 / Published online: 17 June 2010
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