What Causes Nausea, Shortness Of Breath, Dizziness, Hot Flashes And Leg Pain?

Posted on Mon, 29 Aug 2016

Question: Lrq pain x1week....got worse three days ago. No fever, no vomiting, does have nausea, normal bowels, shortness of breath, c/o dizziness and hot flashes, squeezing sharp pain, no pain with voiding. Very painful when walking cannot bend over due to pain. No injury no trauma. Appetite eats but only few bites before becoming nauseous.
U/a clear, u/s inconclusive cldnt find appendix, cbc good, comp metabolic done blood sugar 107, creative low at .41, fever 99.8 at time of admitting 97.8 at discharge
Er Dr discharged her. Did not listen to chest or heart and very minimally touched the patient. Non other tests ordered to rule out other things.
Was wondering what this could be if not appendicitis? Epipcoil appendagitis? Pneumonia? The pain isn't getting better, pain meds do not relieve pain

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
I hope, CT scan reveals the diagnosis.

Detailed Answer:
Hi.
Thanks for your query about a 11 year girl.
I have read the history fully and understood the concerns.
With the history and the results of tests you have provided my thoughts are as follows:
The most probable reason can be retro-cecal appendicitis, means the appendix is behind the cecum (the initial part of the large bowel).
This is easily missed by ultrasound.
Hence the need of CT scan of the abdomen.
CT scan show the retrocecal appendicitis, retroperitoneal and muscular problems if any.
This can not be due to pneumonia- not so low pain or Epipcoil appendagitis= not so severe and so many symptoms.

I hope this answer helps the girl to get a proper diagnosis and further management.
Please give feedback of CT scan Report.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar