abdominal pain rlq
please help!!! what is this female’s diagnosis?
a 61 year old AAF was admitted to the hospital with a worsening of abdominal pain, upset stomach with heartburn, nausea, and vomiting. the pain and symptoms started 2-3 days ago. the antacid medication made her well until the morning of this day. physical examinations shows tenderness of the RLQ of the abdomen but soft and no rebound. an ECG shows numerous abnormal beats and marked deviation of the segment S-T. CPP was positive, showing troponin elevation, cardiac CK(creatine kinase) , in addition to elevated blood glucose levels. shortly after admissions, she suffered cardiac arrest and died. 1) what is your diagnosis? diverticulitis? appendicitis? 2) how is your diagnosis based on the physical examination and ECG? 3) what do the lab data demonstrate? 4) what has caused the cardiac arrest? 5)are the starting and course of the disease typical or not?explain6)is it true that there is a “cardioptosis of old age”? the heart migrates down towards the abdomen with age.
Women may experience fewer typical symptoms of myocardial infarction than men, most commonly shortness of breath, weakness, a feeling of indigestion, and fatigue.
Symptoms More Likely in Women
* Indigestion or gas-like pain
* Dizziness, nausea or vomiting
* Unexplained weakness, fatigue
* Discomfort/pain between shoulder blades
* Recurring chest discomfort
* Sense of impending doom
What many people, including many healthcare professionals, don’t realize is that the symptoms of heart attack in women are often different. She might have died due to second heart attack.
Please note that I am not a medical professional.
