Monthly Archives: May 2017

Question: A 22-year-old man presented with 1-week history of left-sided chest pain radiating to the back and fatigue. Past medical history was significant for truncus arteriosus with late valvular repair complicated by secondary pulmonary hypertension…. Continue reading →

We read with great interest the recent publication by Matsuo et al1 and the accompanying editorial by Goldenring and Mills.2 We agree with the authors that the Runx1 enhancer element, eR1, marks among other cell types a stem cell population within the… Continue reading →

Question: A 70-year-old male patient, with a history of Madelung disease, ischemic heart disease, hypertension, diabetes mellitus and dyslipidemia, was diagnosed with a stage IV adenocarcinoma of the cephalic portion of the pancreas. Continue reading →

Question: A 66-year-old man with past medical history of asthma, hypertension, type 2 diabetes mellitus, chronic kidney disease, hypoganadism, and gynecomastia presented with acute abdominal pain that led to an emergency room computed tomography (CT) s… Continue reading →

Question: A 64-year-old man presented with intermittent episodes of dysphagia to solids, which has been nonprogressive over the past 3 months. He denied any history of chest pain, vomiting, reflux symptoms, loss of appetite, or loss of weight. He is … Continue reading →

Question: A 20-year-old, previously healthy college student developed acute abdominal pain and vomiting. Symptoms started about 2 weeks before presentation. His pain was epigastric and nonradiating and the emesis was bilious and nonbloody. He reported … Continue reading →

In their recent study, Tsai et al1 evaluated a possible association between proton pump inhibitor (PPI) use and the development of hepatic encephalopathy (HE) in patients with cirrhosis. This is the second report of which we are aware that has examine… Continue reading →