1 / 11

7 YO male bilateral lower abdominal pain

7 YO male bilateral lower abdominal pain. Ultrasound Case studies in Comer’s Emergency Room . History . Bilateral lower abdomen pain x 2 days No N/V/D No trauma No fever No testicular pain History of eczema. Physical exam. Temp: 37.3, PR 103, RR 24, BP 116/74 Normal ENT/

umika
Télécharger la présentation

7 YO male bilateral lower abdominal pain

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. 7 YO male bilateral lower abdominal pain Ultrasound Case studies in Comer’s Emergency Room

  2. History • Bilateral lower abdomen pain x 2 days • No N/V/D • No trauma • No fever • No testicular pain • History of eczema

  3. Physical exam • Temp: 37.3, PR 103, RR 24, BP 116/74 • Normal ENT/ • Normal eye exam • Clear lungs • Abdomen: Soft , redness ,hyperpigmentation, crusting below the umbilicus • Tender swollen inguinal lymph nodes with redness of the overlying skin • Normal scrotum, testes & penis • No hernias

  4. Abdomen/Skin examination • Dry skin, rough surface • Hyperpigmentation below umbilicus • Soft abdomen with no tenderness • Tender swellings @ both inguinal ligaments • Normal testes & scrotum

  5. 2D US of L inguinal area • Enlarged L.N. • Hypo echoic • Size about 0.5 cm

  6. 2D US of R inguinal area

  7. They may show hilar vascularity but are usually hypovascular . Doppler US

  8. Flattened hypoechoic structures with varying amounts of hilar fat Enlarged hypoechoic swollen lymph node 2D US appearance of normal/abnormal lymph node

  9. Doppler US of L.N. • Benign lymph node—power Doppler colour flow pattern. Note central flow pattern mirrors hilus.

  10. Management • Patient was started on PO Clindamycin • Treatment for local rash of eczema • F/U with PMD

More Related