Daily Archives: January 3, 2017

An Unusual Painless Groin Mass in an Elderly Man

Question: An 89-year-old man had a painless mass in the right inguinal area for >6 months. Anorexia and unintentional weight loss occurred over the past month. His medical history was unremarkable. Physical examination revealed a fixed, hard, nonpulsatile, nontender, and irreducible lesion in the right groin (Figure A). The abdomen was soft, with no pain, and normal bowel sounds. The supine abdominal radiograph showed a normal bowel gas pattern. Sonogram of right inguinal region disclosed a 62 × 25 × 23-mm, well-circumscribed, heterogeneous, hypoechoic, and vascularized tumor (Figure B, white arrowheads). Continue reading

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Abdominal Pain After Colonoscopy

Question: A 56-year-old woman with no prior medical history presented to the emergency department with abdominal pain 12 hours after a screening colonoscopy. The procedure was uneventful with no suspicious masses or lesions detected and no biopsies per… Continue reading

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Abdominal Pain after Colonoscopy

Question: A 56-year-old woman with no prior medical history presented to the emergency department with abdominal pain 12 hours after a screening colonoscopy. The procedure was uneventful with no suspicious masses or lesions detected and no biopsies per… Continue reading

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American Gastroenterological Association Institute Guidelines for the Diagnosis and Management of Acute Liver Failure

This guideline was developed using a process outlined elsewhere.1 Briefly, the American Gastroenterological Association Institute (AGA) process for developing clinical practice guidelines incorporates Grading of Recommendations Assessment, Development,… Continue reading

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American Gastroenterological Association Institute Guidelines for the Diagnosis and Management of Acute Liver Failure

This guideline was developed using a process outlined elsewhere.1 Briefly, the American Gastroenterological Association Institute (AGA) process for developing clinical practice guidelines incorporates Grading of Recommendations Assessment, Development,… Continue reading

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