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Radiology quiz. Right iliac fossa pain
1Austin and Repatriation Medical Centre, Victoria.
Australian Family Physician
|April 17, 2001
Summary
A 70-year-old woman with severe emphysema experienced worsening right iliac fossa pain and anorexia. This case highlights potential atypical presentations of abdominal conditions in elderly patients with chronic respiratory disease.
Area of Science:
- Geriatric Medicine
- Pulmonology
- Gastroenterology
Background:
- Elderly patients with severe emphysema may present with atypical symptoms.
- Chronic respiratory conditions can influence abdominal pain presentation.
Observation:
- A 70-year-old female with a history of severe emphysema presented with a one-week history of worsening right iliac fossa pain.
- The patient also reported anorexia and right lower quadrant tenderness.
Findings:
- The clinical presentation suggests a possible intra-abdominal pathology.
- Differential diagnoses must consider the patient's underlying emphysema and age.
Implications:
- Prompt and thorough investigation is crucial for accurate diagnosis in this patient population.
- Atypical presentations necessitate a broad differential diagnosis in geriatric patients with comorbidities.