03-17-2010, 02:57 PM
Dear all,
I need your advise about a pt. She has rt upper abdominal pain(below the rib) and rt shoulder pain. Pain is worse at mid night. All her blood work, LFT,U/A, USG of whole abdomen, endoscopy, ECG, Echocardiography came back normal. Serum amylase, lipase also normal.
PMH : pt has pacemaker, stent, osteoarthritis
PSH: cholecystectomy in 2008
Pt is not diabetic,
Med: Aspirin, Lipitor, Multivitamin
Pain arise at same time midnight. no relation with movement. She hardly can sleep at night.
What could the possible diagnosis? And is there any more test to do?
I appreciate your advise.
Thanks.
I need your advise about a pt. She has rt upper abdominal pain(below the rib) and rt shoulder pain. Pain is worse at mid night. All her blood work, LFT,U/A, USG of whole abdomen, endoscopy, ECG, Echocardiography came back normal. Serum amylase, lipase also normal.
PMH : pt has pacemaker, stent, osteoarthritis
PSH: cholecystectomy in 2008
Pt is not diabetic,
Med: Aspirin, Lipitor, Multivitamin
Pain arise at same time midnight. no relation with movement. She hardly can sleep at night.
What could the possible diagnosis? And is there any more test to do?
I appreciate your advise.
Thanks.