Female, 37 - left hypochondrium pain

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Persistent left hypochondrium pain


A 37-year-old woman, Lucie Pospíšilová, comes to her general practitioner complaining of persistent pain in her left hypochondrium.

Personal history: no condition under monitoring, no surgeries.

Pharmacological history: no chronic medication.

Allergies: no chronic medication, no allergies.

Family history: father diagnosed with cancer, she doesn't know what kind.

Gynaecological history: 2 births, regularly monitored.

Addictions: smoker since 14, 20 cigarettes/day.

Praktický lékař

What step would you take next?

You will be collecting subjective and objective findings from the patient. For this reason, you will send the patient for comprehensive tests (blood count, biochemistry, including renal and inflammatory parameters, and urine biochemistry), and prescribe empirical ATB and analgesics. The patient will be invited for a follow-up after 2 weeks. You will be collecting subjective and objective findings from the patient. For this reason, you will send the patient for comprehensive tests (blood count, biochemistry including renal and inflammatory parameters and urine biochemistry) and a CT scan of the abdomen. You will be collecting subjective and objective findings from the patient. Therefore, you will send the patient for comprehensive tests (blood count, biochemistry, including renal and inflammatory parameters, and urine biochemistry), complementary ultrasound of the abdomen and kidneys to be taken by an urologist/radiologist.

This virtual patient case was created on the basis of clinical practice outside the EU and may, therefore, include an off-label practice.

I agree with playing a virtual patient case authored outside the EU. I will not draw any consequences from this case for my own or any other practice, as this case may contain unapproved use of an approved drug.

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