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Emergency casebook
Epidural abscess misdiagnosed as cholecystitis
  1. F Lam,
  2. M Hynes
  1. Chase Farm Hospital NHS Trust, London
  1. Correspondence to: Mr Lam, 4 Middlefield, St John's Wood, London NW8 6NE, UK (mrflam{at}hotmail.com)

https://doi.org/10.1136/emj.18.3.230

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    A 65 year old man presented to the accident and emergency department with a four week history of worsening pain in the right upper quadrant of his abdomen. There was no history of jaundice or change in appearance of his stools or urine. On admission, he was feversish with a temperature of 37.8°C and his abdomen was soft and non-tender. Blood tests revealed a neutrophilia of 16 with a raised C reactive protein at 180. Apart from …

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