I went to the ER Saturday with pain similar to when I had internal bleeding with a ruptured uterus. Back, abdominal, chest, and shoulder pain. Normal abdominal xray and CT. WBC was 20k, ALT 16, AST 13. Pain reached a 10/10 (HR was 186) and was given dilaudid 0.5 mg per hour for 17 hours. Labs redrawn...WBC 10k, ALT 227, AST 179. Any ideas? Discharged yesterday, now having right upper quadrant abdominal pain and right back pain.