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7 August, 07:02

An elderly woman with a history of coronary bypass comes in with severe, diffuse, abdominal pain. strangely, during your examination, the pain is not made worse by pressing on the abdomen. what do you suspect?

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  1. 7 August, 10:57
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    Ischemia is suspected in this case. If there’s history of bypass, it can be used as a clue to see if there is vascular narrowing elsewhere. Malingering is unlikely. However, neuropathic pain as seen in herpes zoster, would get worse with touch.
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