Real Case: Why did vomiting ease this patient’s stomach pain?

Karen is an interesting woman. She was adopted and thus has no knowledge of family history of any medical conditions. Fortunately, she is generally in good health so it can often be two years between visits.

Karen attends for her Pap smear routinely, but her smear is anything but routine.

She has lymphoedema in her legs and has worn a full-length stocking on both legs for years. Due to the difficulty of getting it on and off it has an opening at the appropriate area.

Karen is quite matter-of-fact about this — it has been part of her