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212 Possible Causes for Epigastric Pain, Left Shoulder Pain

  • Splenic Rupture

    A 22-year-old woman presented with a 3-day history of worsening epigastric pain, non-productive cough and vomiting.[ncbi.nlm.nih.gov] He now presented with sudden severe abdominal and left shoulder pain for 1 day, with no history of antecedent trauma.[ncbi.nlm.nih.gov] CASE REPORT A 76 year old woman presented with an 18 hour history of epigastric pain and dyspnoea. She had no noticeable comorbidity.[jcp.bmj.com]

  • Myocardial Infarction

    A 58 year old lady was admitted to our unit with acute onset epigastric pain and vomiting for 4 h duration.[ncbi.nlm.nih.gov] At times, the signs may be far less obvious, manifesting with nonspecific or generalized symptoms such as: Pain around the shoulder blades, arm, chest, jaw, left arm, or upper[verywell.com] . 16 In fact, women are more likely to present with atypical symptoms such as fatigue, sleep disturbance, shortness of breath, back pain, upper abdominal or epigastric pain[journals.lww.com]

  • Splenic Vein Thrombosis

    We report a case of suspected gastrointestinal bleeding in a patient with a childhood history of pancreatitis, who also experienced severe epigastric pain while in hospital[ncbi.nlm.nih.gov] The operation was conducted without complications and the postoperative period was marked by left shoulder pain.[scielo.br] A 60-year-old Indian man presented with epigastric pain, diarrhea and vomiting.[ncbi.nlm.nih.gov]

  • Mallory-Weiss Syndrome

    Patients typically present with a history of epigastric pain and hematemesis .[amboss.com] pain back pain Physical exam upper GI bleed hemodynamic instability can occur with large bleeds signs include hypotension/tachycardia Evaluation Mallory-Weiss tears are diagnosed[step2.medbullets.com] […] or back pain Hematemesis Possible shock with massive hemorrhage References: [2] Diagnostics Esophagogastroduodenoscopy Often a single longitudinal tear (multiple tears are[amboss.com]

  • Acute Myocardial Infarction

    Differential diagnosis of acute myocardial infarction Arm pain Myocardial ischemia, cervical/thoracic vertebral pain, thoracic outlet syndrome Epigastric pain Myocardial ischemia[medical-dictionary.thefreedictionary.com] AMI typically presents with central chest pain which may radiate to the neck, left arm, jaw, and shoulders.[symptoma.com] Presentation Chest pain (central chest pain may not be the main symptom): Three quarters of patients present with characteristic central or epigastric chest pain radiating[patient.info]

  • Splenic Infarction

    Epigastric pain and fever began 2 weeks before admission and regressed spontaneously.[minervamedica.it] Additional symptoms include fever and chills, nausea and vomiting, pleuritic chest pain, and left shoulder pain (Kehr sign).[emedicine.medscape.com] Case 4, a 45-year-old male with acute pancreatitis, presented with epigastric pain. CT showed splenic vein thrombosis, and the patient was treated with Coumadin.[bloodjournal.org]

  • Angina Pectoris

    Epigastric pain Anorexia T: Purple with purple spots C: Normal P: Choppy or Wiry and tight Treatment Principle Invigorate the Blood Relieve Stasis Stop pain Herb Formulas[americandragon.com] At 6 hours after stenting, left hemiparesis was found with deteriorated shoulder pain.[ncbi.nlm.nih.gov] The symptoms commonly experienced include: Heaviness or tightness in the chest A stabbing pain that may spread to the left shoulder, arm, hand, neck, throat or jaw.[nativeremedies.com]

  • Malignant Neoplasm

    A 50-year-old female was referred to our hospital because of postprandial epigastric pain and pancreatic head mass.[ncbi.nlm.nih.gov] A 58-year-old man presented with pain in the left hemithorax radiating to the left shoulder and arm.[archbronconeumol.org] On admission, an elastic hard mass with tenderness was palpable in the epigastric region.[ncbi.nlm.nih.gov]

  • Bochdalek Hernia

    A 38-year-old woman presented with epigastric pain and a persistent cough of 2 months' duration. A chest radiograph showed bowel loops in the left side of the chest.[ncbi.nlm.nih.gov] He complained of left shoulder pain, requiring oral narcotic analgesics for 3 weeks, but his recovery was otherwise uneventful.[sages.org] pain, cough, vomiting since 2 weeks and shortness of breath.[ncbi.nlm.nih.gov]

  • Myeloproliferative Disease

    […] joint(s) secondary to gouty arthritis that is secondary to hyperuricemia Priapism, tinnitus, or stupor from leukostasis Left upper quadrant and left shoulder pain as a consequence[emedicine.medscape.com] […] joint(s) secondary to gouty arthritis secondary to hyperuricemia Left upper quadrant and left shoulder pain as a consequence of splenic infarction and perisplenitis In many[emedicine.medscape.com] […] satiety secondary to splenomegaly: Most common in chronic myelogenous leukemia and agnogenic myeloid metaplasia Easy bruising, bleeding, and/or symptoms of thrombosis Swollen, painful[emedicine.medscape.com]

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