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Woman with sore throat, fever and abdominal pain
A 32-year-old woman, presented to the Emergency Department (ED) with a 15-day fever, and a sore throat recently associated with a growing abdominal pain. At admission in the ED, the patient had normal vital parameters and her history showed no underlying comorbidities. On physical examination, abdominal tenderness was observed with an important (8/10) left upper quadrant pain associated with a palpable splenomegaly. The rest of the clinical examination was normal except for a mild odynophagia. Six days before the ED admission, the patient had consulted her General Practitioner who prescribed a complete blood test.Woman with headache and retro-orbital pain
A 54-year-old woman, presented to the Emergency Departement (ED) with a 10-days unilateral headache and progressive pain behind the left eye. The patient had normal vital parameters and no medical history. At admission in the ED, neurological examination showed a left-sided abduction deficit (consistent with a sixth nerve palsy). The rest of the clinical examination was normal. Head CT showed no evidence of infarction, hemorrhage or mass. A lumbar punction was performed with normal opening pressure and no white blood cells.
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