Daily Archives: August 1, 2016

Question: A 35-year-old black man with no past medical history presented to the emergency room with complaints of fever, abdominal pain, malaise, and vomiting, for a week. Physical examination was significant for a temperature of 103.2°F, pulse of 102… Continue reading →

A 47-year-old woman presented with new-onset hematuria, easy bruising, and abdominal pain. For the past 10 days, she had severe, watery diarrhea and right-sided flank pain radiating to the right lower quadrant (RLQ) of her abdomen. She recently returne… Continue reading →

Question: A 52-year-old man with a history of hypertension and diabetes mellitus was admitted because of right upper abdominal pain of 3 days’ duration. He complained of nausea, abdominal fullness, and fever. He also noted that his skin had become ye… Continue reading →

Question: A 48-year-old woman presents with recurrent ascites and progressive weakness. She was discharged a little over a week ago and at that time multiple diagnostic studies, including a large volume paracentesis (serum ascites–albumin gradient [S… Continue reading →

Question: A 35-year-old previously well woman underwent colonoscopy as part of a health checkup. She took liquid sodium phosphate solution for colon preparation. She noted no abdominal pain or bloody stool before or after taking the colon preparation. … Continue reading →

We read with great interest the article by Levenick et al,1 who evaluated the efficacy of indomethacin given via the rectal route in preventing post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP) in a randomized controlled tr… Continue reading →

Genome-wide association studies have identified 200 inflammatory bowel disease (IBD) loci, but the genetic architecture of Crohn’s disease (CD) and ulcerative colitis remain incompletely defined. Here, we aimed to identify novel associations between … Continue reading →

Question: A 56-year-old man was admitted to our emergency department because of a transient loss of consciousness. He had been suffering from dizziness and melena for two weeks and denied any use of nonsteroidal anti-inflammatory drugs or anticoagulant… Continue reading →

Some patients develop multiple squamous cell carcinomas (SCCs) in the upper aero-digestive tract, attributed to field cancerization; alcohol consumption has been associated with this process. We examined the association between multiple areas of dyspla… Continue reading →

Question: A 73-year-old man with a history of hypertension presented with the first attack of approximately 300 mL volume of hematochezia. The patient was afebrile with stable vital sign and physical examination was normal. The laboratory test showed t… Continue reading →