Conversation: The conversation between human and AI assistant.
[|Human|] My neighbors 19 year old son recently had an emergency appendectomy about three months ago. He is very healthy and active. Since then he has experienced many other medical symptoms such as sharp pains thru his legs and back and even in his face. He has burning sensations as well. They dont last very long but he is even afraid to drive long distances invade he has an episode. Drs are in the process of conducting cat scans and have found nothing so far. They have one more to do then they will have to send him to someone else. He also caught annumonia a month after his surgery and was having trouble breathing like panic attacks.. This may not be related but ever since he has had the surgery he has suffered with problems. We almost considered lyms disease. Any suggestions?? He feels very fatigued.
[|AI|]  Hi, Thanks for writing in. The first investigation he needs to undergo is contrast enhanced CT of the abdomen which will rule out any abdominal issue.Thereafter, blood counts and chest radiology to ascertain and rule out any major chest problem. If that is ruled out then a psychological evaluation is necessary to find the cause of panic attacks. I hope this provides you with a road map for further investigation. Regards