Moderator EMEDPA Posted May 10, 2020 Moderator Share Posted May 10, 2020 transferred a guy recently who didn't read the textbook. presented as diffuse upper abd pain. wbc 21,000. lfts all 300+, T. Bili 9, lipase nl cbd 13 mm with noted cholecysitis by CT. no fever. no chills. no ams. no jaundice. no hypotension. ERCP done. stone and pus in CBD. incidental chole done without complication. Quote Link to comment Share on other sites More sharing options...
fishbum Posted May 13, 2020 Share Posted May 13, 2020 I'm usually kind of surprised when something presents in the "classic" way, because it never seems that clear cut. Those presentations probably were more common when first described just because people didn't seek/get care until later in the disease process. 1 Quote Link to comment Share on other sites More sharing options...
MediMike Posted May 17, 2020 Share Posted May 17, 2020 I've always figured these "classic presentations" were simply the way they presented to whatever dead white guy coined the term. Since they clearly went on to teach others about it, the presentation simply stuck Quote Link to comment Share on other sites More sharing options...
sk732 Posted May 22, 2020 Share Posted May 22, 2020 Maybe the Force was strong and wasn't that sore...yet. I once saw classic Charcot's Triad and Reynold's Pentad=>they were floridly septic of course. Like fishbum noted, people often showed up late in presentation...much like this person did. Spouse didn't think there was much wrong with them/didn't believe them SK Quote Link to comment Share on other sites More sharing options...
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