https://www.broommanufacturers.com/2024/01/31/h42kz640jiq Notes from the Xanadu Clinic, Norfolk Island, South Pacific

source The patient is a 65 yo man with a one week history of intense lancinating pain in the right upper quadrant.  He was examined by his internist who suspected gall bladder disease and ordered an abdominal ultrasound.  It was negative, so an abdominal CT scan was scheduled.  Between the ultrasound and the CT scan the patient developed a rash on the abdomen and back.  He attributed it to one of the new drugs he was prescribed for his abdominal symptoms.

https://bakingbrew.com/recipe/449h5j9fx I saw him today for elective surgery of a skin cancer.  I greeted him with “How are you today?” He answered, “Not so good” and told me about his pain.  I checked his rash.

watch Right Upper Quadrant

https://bakingbrew.com/recipe/x5k8kezbqy4

follow link Right Mid-Back

source site

go The prodrome of herpes zoster can last from a few days to as long as two weeks or more and can mimic many somatic illnesses.  Gall bladder disease, heart attack, kidney stones, migraine, the list goes on.

http://www.kantamotwani.com/j0ge5wgbf In this case, expensive tests* were ordered and they contributed to a significant delay in diagnosis of his thoracic herpes zoster.  By the time he was seen, he was outside of the therapeutic window when appropriate antivirals can be effective.

https://proventsystems.com/icqa66auvf *Estimated cost of scans go to link CT of Abdomen  $1800 – 2100 (USD) see url Ultrasound of Abdomen ~ $900 (USD)

https://feriadelavivienda.co/twnmsl8w Reference:  Strangely, little attention has been given to the prodrome of HZ in the medical  literature.  The following abstract is the only pertinent one we could find.

https://www.eastcotesignanddisplay.co.uk/rjf6z37 Nair PA.  Herpes zoster: mistaken for radiculopathy and back pain. J Indian Med Assoc. 2012 Jun;110(6):399. https://www.broommanufacturers.com/2024/01/31/4lovd6gsigc Pramukhswami Medical College and HM Patel Centre for Medical Care and Education, Karamsad 388325. Buy Zolpidem 10Mg Online Buy Ambien Canada Abstract: Herpes zoster should be considered as one of the differential diagnosis in acute pain of short duration on one side of the body with or without skin lesions. Pain, a prodromal manifestation of herpes zoster may be mistaken for various disease conditions, leading to hasty unwise investigation, therapy. and surgical interventions. There is a need to identify prodrome and skin eruptions of herpes zoster, so that early antiviral therapy can be started in elderly patients who are at higher risk of developing postherpetic neuralgia.