Background: Prior studies have found Black and Hispanic patients are more likely to experience disparities in pain management. Fewer studies have evaluated pain control based on age, sex, body mass index (BMI), or presence of a substance use disorder (SUD). While factors influencing management of acute pain are complex, striving for adequate pain control remains […]

Case Presentation: A 23 year old man with type 2 autoimmune pancreatitis (AIP) based on suggestive pancreatic biopsy presented with abdominal pain, nausea, and vomiting. Based on his AIP diagnosis, he had previously received courses of steroids and azathioprine, celiac plexus block, minor papilla sphincterotomy, and pancreatic duct stent placement, but these were all ineffective. […]

Case Presentation: A 73yo Caucasian female with history of hypertension, hyperlipidemia, type II diabetes mellitus, and osteoarthritis, presented a few hours after sudden onset, sharp LUQ abdominal pain associated with multiple episodes of nausea and vomiting. Patient denied any previous event like presentation. Further workup revealed no history of pancreatitis, trauma, or alcohol abuse. Medications […]

Case Presentation: A 63-year-old Caucasian female with a medical history of type 2 DM, HTN, and cholecystectomy presented with a 3-days history of abdominal pain, nausea, and vomiting. She has no history of alcohol intake and has a pertinent family history of colon cancer. Physical exam and vital signs were normal except for epigastric tenderness.Labs […]

Case Presentation: TS is a 58 year-old male with a past medical history of prediabetes, pulmonary embolism, and stage II colon cancer treated via hemicolectomy in 2016 who presented to the hospital with dyspnea and altered mental status. On exam, he was febrile to 38.6 degrees Celsius. His abdomen was distended and diffusely tender to […]

Case Presentation: A 42 year-old male patient with past medical history of asthma presented to the emergency room with acute onset epigastric pain for three days. The epigastric pain worsened over time, and the patient subsequently experienced numerous episodes of vomiting and the inability to tolerate oral intake, including both solids and liquids. He described […]