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Question Category: Abdominal Pain |
My daughter had strep throat 2mth ago (age 11). 1mth ago onset of LUQ pain, fatique & loss of appetite. 2wks ago onset of L flank pain & enlarged lymph nodes under her chin. Labs (CBC,amylase, liver enzymes, sed rate)normal values. Cat Scan of abdm-unremarkable. Did experience constipation over past week-resolved. Symptoms are unchanged. She is unable to go to school or particpate in any activities. The Dr feels this is viral but it has been 5 weeks-any thoughts?
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Question Category: Abdominal Pain |
One needs to rule out conditions such as uriary tract infections in view of left flank pain. Also infectious mononuclosis should be kept in mind in view of neck lymphnodes. Finally streptococcal infection may lead to Rheumatic fever or Glomerulonephritis. Consult your pediatrician for the same. If still no clue, a lymph node biopsy would be useful.
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