A 28-year-old man with sickle cell disease was admitted with chief complaints of jaundice,
abdominal distension, constipation, and back and hip pain characteristic of prior
sickle cell flares. For 2 weeks prior to admission, the patient had tried unsuccessfully
to control his pain with a home narcotic regimen. He denied fevers, chills, chest
pain, and shortness of breath, but he did report abdominal distension and constipation
that coincided with his increased use of narcotics.
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References
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Article Info
Footnotes
☆Requests for reprints should be addressed to Charles M. Wiener, MD, Department of Medicine, Johns Hopkins School of Medicine, 1830 East Monument Street, Suite 9030, Baltimore, MD 21205.
☆E-mail address: [email protected]
Identification
Copyright
© 2005 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
