Intense pain in upper abdomen, history of renal stone. Also pain in supra-clavicular region. Advice?
Patient: Hi I have intermittent pain in my left supra-clavicular region. No palpable lymphadenopathy . No history of malignancy . Negative skin TB test this year. No fever. Recently I had cold with a lot of coughing. Some associated pain in my left side upper abdomen front and back. Pain increases in intensity with breathing. It starts suddenly, lasts ~1-2h and then is gone. Remote history of renal stone . Currently no blood in urine Doctor: Hi Pain in the supraclavicular region is due to musculoskeletal cause in your case. As there are no palpable lymphnodes and no fever,TB can be excluded. In cold,due to secondary infection cough can occur.As there was history of renal stone,pain abdomen can be due to recurrence of stone. Get an Ultrasound abdomen and confirm the diagnosis. Till then,please take Antispasmodic Dicyclomine. If you come back with Ultrasound report,i will clarify further Wish you good health Regards