Abdominal Pain Plan

Possible but most signs absent

Causes

Appendicitis

Physicalpalpations and CT Scan

Diabetic Keto acidosis

Blood work eliminates

Mesenteric Thrombosis

Would have been found in CT Scan

Thoracic Aortic Aneurism

Not likely-Chest X-Ray was clear

Uremia

Mostly a consequence of kidney failure, If that is the case, other indicators should be present to indicate such,

Angina

Heart scan shows Zero blockages

Hepatitis

only abdominal pain

GERD GastroEsophageal Reflux Disease

Heart Attack

Mesenteric Ischemia

The only symptom associated is abdominal pain.

Non-Hodgkins Lymphoma

Non ulcer stomach pain

Peptic Ulcer

Upper endoscopy

Pericarditis

Pleurisy

Pneumonia

Pneumothorax

Diagnostics

ER Visit 2/23

ER Visit 3/1

Blood work

Negative

Urine Sample

Negative

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 3/15Contacted Dr. G's office three times to attempt to get an appointment sooner than 3/15 or recommend another GI Specialist.

Cursory Vitals Check

Blood Work 3/14

H. Pylori-Clear

celiac- clear

ultrasound 3/15

Clear

Endoscopy 3/20

Clear

Recommend MRCP

Concern: Cost

Concern: 6"metal in distal 3rd of right arm. Will this cause a problem with the MRCP>?

Examines the bile ducts and may detect presence of gallstones.

Most likely

Gallstones

Doctor thinks this the most likely and that my episodes may have been caused by passing gallstones.

Wants to run MRCP to examine the bile ducts in the gallbladder.

Symptoms

Intense Pain just below sternum

Pain is treated with pain meds and subsides after a few hours.

Vomit

Light amounts with some relief

Some diarrhea

light with some sensation of constipation

Relief

Morphine push

Warm Compress

Percocet

Time