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Acute abdomen in a young patient: the distant culprit

Dec 6, 2012 7:00:00 PM / by Martin Witiak

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

More articles in emergency medicine at

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