Abdominal Pain, Anemia, and Oliguria in a Distressed Woman

Eva Nourbakhsh, MD; Kenneth M. Nugent, MD; Rishi Raj, MD


April 30, 2021

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A 70-year-old woman was recently treated in the hospital for a right hip fracture, weakness, and chronic atrial fibrillation with a rapid ventricular response. Two days after she was discharged to a long-term care facility, she is readmitted for urinary retention and recurrent tachycardia. In addition, she complains of generalized weakness and midline lower abdominal pain.

She denies any previous history of urinary retention as well as experiencing any fever, dysuria, hematuria, vomiting, trouble breathing, or chest pain in association with this presentation. Her medical and surgical history includes a stroke with left hemiparesis, hypertension, atrial fibrillation, epilepsy, and hemiarthroplasty; she is nonambulatory secondary to the stroke.

Her medications include atorvastatin, enoxaparin, levetiracetam, metoprolol, omeprazole, and warfarin (7.5 mg daily).


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