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Ex-USMLE Forums Staff
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Discussion Starter · #1 ·
One of the classic case scenarios seen in USMLE is the description of the a premenopausal female with h/o multiple sexual partners, vaginal discharge, fever, and suprisingly an right upper abdominal pain.
This is a classic presentation of Fitz Hugh Curtis Syndrome in which the infection ascends from a PID (typically salpingitis) to involve the capsule of the liver and therefore pain may sometimes refer to the right scapula and tip of shoulder.
 
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