[38F] With unexplained bruising and rib pain
Patient Description
A 38-year-old female presents with sudden unexplained bruising on the side of her stomach, accompanied by gradual onset rib pain. The bruising appeared today without any associated injury. The patient reports some fatigue and swelling or tenderness around the bruised area. There is no unusual bleeding, such as nosebleeds or bleeding gums. This is the first occurrence of such bruising. The patient's medical history is significant for high blood pressure, diagnosed in 2015. She is allergic to Cipro and is not currently taking any medications. No recent changes in health, lifestyle, or environment have been reported.
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Arora's Assessment
What might be happening
Based on your symptoms, here are some possibilities:
- Spontaneous Bruising: This can occur due to minor trauma that you might not remember or notice. It can also be related to blood vessel fragility or clotting issues.
- Rib Pain: This could be related to muscle strain or inflammation, especially if you've been engaging in physical activity or have had a recent cough.
Typical evaluations might include a physical examination and possibly blood tests to check for clotting issues.
What you can do
- Monitor the Bruise: Keep an eye on the size and color of the bruise. If it changes significantly, it might be worth consulting a healthcare provider.
- Pain Management: Over-the-counter pain relief like acetaminophen can help manage discomfort. Avoid aspirin as it can increase bleeding.
- Rest: Try to rest and avoid activities that might strain your ribs further.
- Symptom Tracking: Use MDandMe to journal your symptoms, track any changes, and share this information with your healthcare provider.
What you should look out for
Seek medical attention if you notice:
- The bruise spreading or becoming more painful
- Additional unexplained bruising elsewhere
- Any signs of unusual bleeding, like nosebleeds or bleeding gums
- Increased fatigue or weakness
Remember, it's always best to consult with a healthcare professional for a formal diagnosis and treatment plan.
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3 mo ago
