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Acute abdomen in a young patient: the distant culprit

  
  
  
  
  
Emergency Medicine Journal, 12/07/2012

Singh S et al. – A 24–year–old man presented with severe abdomen pain of 4 days duration. He was an intravenous drug abuser without significant past illness. Examination revealed tachycardia, normal blood pressure and diffuse abdominal tenderness. Chest roentgenogram showed cardiomegaly.


Dr Sukhvinder Singh (12/08/2012) comments:

This case not only highlighted the devastating effects of left ventricular thrombus but brought back the focus on careful clinical examination and enlisting your differentials
accordingly.

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