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Symptoms: Right Lower Quadrant Distention and Bruising

Wiler, Jennifer L. MD, MBA

doi: 10.1097/01.EEM.0000298836.68150.3f
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A 48-year-old man presents to the ED with acute onset of right lower quadrant distention and bruising. His medical history is significant for alcoholic cirrhosis, and he denies any history of trauma, syncope, chest pain, shortness of breath, easy bruising, a bleeding disorder, or anticoagulation medications.

Three weeks earlier he had a paracentesis performed in the same area of the abdomen for symptomatic relief. Pertinent vital signs are heart rate 120 beats per minute and blood pressure 102/82 mmHg. His hemoglobin was 10.4 gm/dl, platelet was 251 k/ul, and INR was 1.35.

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What is the diagnosis and treatment of this condition? See p. 30.

© 2007 Lippincott Williams & Wilkins, Inc.