[net.med] Another Medical Puzzler

werner@aecom.UUCP (Craig Werner) (12/07/85)

	History of present illness:  Two weeks ago the patient had a bout of
severe epigastric (that's directly underneath the belly button) pain and 
nausea that lasted a little more than 12 hours and then went away.  However,
two days after that he felt a little tired, and has had a continuous headache
ever since, and sweating and chills (and presumably fever) at night. However,
he feels fairly good, albeit fatigued, and his physical exam reveals 
nothing remarkable, and routine tests are normal.

	Contained in the above is a Classic symptom of a disease. It should be
all that's needed. I'll get back in a week (or so, OK, last time it took me
longer, I got sidetracked.) with what it is, whether it is serious or not,
what should be done, and what happened to the patient.



-- 

				Craig Werner
				!philabs!aecom!werner
     "I never knew there was anything wrong with me till I met Dr. Hackenbush."

carter@gatech.CSNET (Carter Bullard) (12/12/85)

In article <2122@aecom.UUCP> werner@aecom.UUCP (Craig Werner) writes:
>
>	History of present illness:  Two weeks ago the patient had a bout of
>severe epigastric (that's directly underneath the belly button) pain and 
>nausea that lasted a little more than 12 hours and then went away.  However,
>two days after that he felt a little tired, and has had a continuous headache
>ever since, and sweating and chills (and presumably fever) at night. However,
>he feels fairly good, albeit fatigued, and his physical exam reveals 
>nothing remarkable, and routine tests are normal.
>
>	Contained in the above is a Classic symptom of a disease. It should be
>all that's needed. I'll get back in a week (or so, OK, last time it took me
>longer, I got sidetracked.) with what it is, whether it is serious or not,
>what should be done, and what happened to the patient.
>

   how about a stroke or tia in or around his hypothalmus.  or maybe a tumor.
   you know, chemotrigger receptor zone involvement, at first and then some
   abnormal autonomic discharging afterwards.

trudel@caip.RUTGERS.EDU (Jonathan D. Trudel) (12/13/85)

> 
> 	History of present illness:  Two weeks ago the patient had a bout of
> severe epigastric (that's directly underneath the belly button) pain and 
> nausea that lasted a little more than 12 hours and then went away.  However,
> two days after that he felt a little tired, and has had a continuous headache
> ever since, and sweating and chills (and presumably fever) at night. However,
> he feels fairly good, albeit fatigued, and his physical exam reveals 
> nothing remarkable, and routine tests are normal.


Is it Crohn's disease?  Seems like the symptoms I had when I was
violently ill with it, although there are also bowel troubles with it,
but in this case I think they haven't shown yet...
-- 

		-- Jonathan D. Trudel --
	      arpa: trudel@blue.rutgers.edu
       uucp:{seismo,allegra,ihnp4}!topaz!blue!trudel
	   Why, Crusher!  It's good to see you!