Monthly Archives: January 2017

Hemorrhagic Anal Mass

Question: A 40-year-old man was admitted to the emergency room owing to a hemorrhagic anal mass that occurred while straining during defecation. The hemorrhagic anal mass was observable on initial examination, because it extended beyond the anus (Figur… Continue reading

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Hemorrhagic Anal Mass

Question: A 40-year-old man was admitted to the emergency room owing to a hemorrhagic anal mass that occurred while straining during defecation. The hemorrhagic anal mass was observable on initial examination, because it extended beyond the anus (Figur… Continue reading

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Intrahepatic Biliary Duct Dilatation With an Unusual Choledochoscope Image

Question: A 52-year-old man presented with recurrent upper abdominal pain on the right side and fever. On physical examination, there was only mild right side upper quadrant tenderness. Blood tests revealed leukocytosis, mild elevation of direct biliru… Continue reading

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Intrahepatic Biliary Duct Dilatation With an Unusual Choledochoscope Image

Question: A 52-year-old man presented with recurrent upper abdominal pain on the right side and fever. On physical examination, there was only mild right side upper quadrant tenderness. Blood tests revealed leukocytosis, mild elevation of direct biliru… Continue reading

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An Unusual Esophageal Dysphagia Under Gastroscopy and Endoscopic Ultrasonography

Question: A 51-year-old man was referred to our hospital, presenting with a history of dysphagia for 3 months. Besides a history of smoking for 30 years, no abnormal symptoms or medical history were recorded, such as hypertension or weight loss. Labora… Continue reading

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An Unusual Esophageal Dysphagia Under Gastroscopy and Endoscopic Ultrasonography

Question: A 51-year-old man was referred to our hospital, presenting with a history of dysphagia for 3 months. Besides a history of smoking for 30 years, no abnormal symptoms or medical history were recorded, such as hypertension or weight loss. Labora… Continue reading

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A Diagnosis of Small Bowel Polyposis

Question: A 19-year-old Hispanic man presented to the emergency department with nausea and vomiting. He was treated initially for viral gastroenteritis but returned several days later with intussusception and small bowel obstruction that was managed co… Continue reading

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A Diagnosis of Small Bowel Polyposis

Question: A 19-year-old Hispanic man presented to the emergency department with nausea and vomiting. He was treated initially for viral gastroenteritis but returned several days later with intussusception and small bowel obstruction that was managed co… Continue reading

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Exam 1: Prevalence and Morbidity of Undiagnosed Celiac Disease From a Community-Based Study

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Covering the Cover

In a multicenter, randomized, double-blind, placebo-controlled, parallel group trial, budesonide oral suspension improved symptomatic, endoscopic, and histologic outcomes in patients with symptomatic eosinophilic esophagitis. Continue reading

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