Daily Archives: December 23, 2015
A Not So Benign Abdomen!
Question: A 55-year-old Egyptian woman with a history of migraine, B-cell lymphoma (in remission), and depression was admitted with diffuse abdominal pain after 2 presentations to the emergency department within 1 week with similar complaints. She deni… Continue reading
A Not So Benign Abdomen!
Question: A 55-year-old Egyptian woman with a history of migraine, B-cell lymphoma (in remission), and depression was admitted with diffuse abdominal pain after 2 presentations to the emergency department within 1 week with similar complaints. She deni… Continue reading
An Octogenarian With Acute Epigastric Pain: More Than Meets the Eye
Question: An 84-year-old woman with a history of dementia and gastroesophageal reflux disease presented to the emergency department with several hours of worsening chest and epigastric pain associated with nausea and vomiting. Upon arrival she was hype… Continue reading
An Octogenarian With Acute Epigastric Pain: More Than Meets the Eye
Question: An 84-year-old woman with a history of dementia and gastroesophageal reflux disease presented to the emergency department with several hours of worsening chest and epigastric pain associated with nausea and vomiting. Upon arrival she was hype… Continue reading
White Gastric Mucosa in a Dialysis Patient
Question: An asymptomatic 66-year-old Japanese man underwent esophagogastroduodenoscopy for screening purposes. The patient had been undergoing hemodialysis for >30 years and had been diagnosed with dialysis-related amyloidosis of the tongue 8 years previously (Figure A). He had been taking lanthanum carbonate, an orally administered phosphate binder, for 5 years, in addition to taking rabeprazole, sarpogrelate, carvedilol, calcitriol, celecoxib, D-sorbitol, brotizolam, and warfarin. Esophagogastroduodenoscopy revealed slightly granular, white mucosa in the gastric body (Figure B, C). Continue reading
White Gastric Mucosa in a Dialysis Patient
Question: An asymptomatic 66-year-old Japanese man underwent esophagogastroduodenoscopy for screening purposes. The patient had been undergoing hemodialysis for >30 years and had been diagnosed with dialysis-related amyloidosis of the tongue 8 years previously (Figure A). He had been taking lanthanum carbonate, an orally administered phosphate binder, for 5 years, in addition to taking rabeprazole, sarpogrelate, carvedilol, calcitriol, celecoxib, D-sorbitol, brotizolam, and warfarin. Esophagogastroduodenoscopy revealed slightly granular, white mucosa in the gastric body (Figure B, C). Continue reading
Milky Diarrhea and Ascites
Question: A 20-year-old man was referred for increasing abdominal girth. Three years previously, he developed voluminous milky diarrhea and was diagnosed with protein-losing enteropathy. His diarrhea subsequently resolved, but he then developed abdomin… Continue reading
Milky Diarrhea and Ascites
Question: A 20-year-old man was referred for increasing abdominal girth. Three years previously, he developed voluminous milky diarrhea and was diagnosed with protein-losing enteropathy. His diarrhea subsequently resolved, but he then developed abdomin… Continue reading