Daily Archives: October 5, 2017

Question: A 13-month-old boy was transferred to this tertiary children’s hospital 1 week after successful removal of ingested esophageal button battery. The battery had been in place for approximately 6 hours at the upper esophageal sphincter. Postoper… Continue reading →

Question: A 48-year-old man presented with persistent pus discharge from multiple openings in left inguinal region for the last 10 years (Figure A). He had undergone surgery (exploratory laparotomy) twice in the last 8 years with no relief. There was n… Continue reading →

Chronic, excessive alcohol consumption leads to alcoholic liver disease (ALD) characterized by steatosis, inflammation, and eventually cirrhosis. The hepatocyte specific microRNA 122 (MIR122) regulates hepatocyte differentiation and metabolism. We inve… Continue reading →

Question: A 64-year-old man with a history of cholelithiasis presented to the emergency department with intermittent epigastric pain followed by postprandial vomiting for 2 days. The patient began to have acute epigastric pain 2 days ago, which was des… Continue reading →

Question: A 56-year-old woman suffered frequent urination, increased thirst, and increased hunger for 3 months before visiting the local hospital. Fatigue blood glucose was 16.97 mmol/L and diabetes mellitus was diagnosed. Insulin and oral glucophage w… Continue reading →

Question: A 63-year-old man with a history of ischemic heart disease and atrial fibrillation presented with new-onset esophageal dysphagia to solids. One week prior he underwent coronary artery bypass surgery and left atrial radiofrequency ablation (RF… Continue reading →

Question: A 53-year-old man was admitted to the emergency department with 1 week of abdominal pain. The patient described sharp, severe right upper quadrant pain that worsened over 1 day. He reported a similar episode for which he underwent cholecystec… Continue reading →