Background: Hepatic artery pseudoaneurysm (HAP) is a rare entity, potentially life threatening and associated with high mortality. The aim of this study was to evaluate Mayo Clinic enterprise’s clinical experience with HAP occurrence, clinical features and outcome in the last 20 years, and to compare our results with what the literature. Methods: This retrospective analysis [...]

Background: Patients who are hospitalized for a prolonged period are at risk of developing various complications, includingfeeding intolerance resulting from reduced gastrointestinal motility. Prucalopride is one of the drugs used for thetreatment of constipation, and it exerts its effects by increasing intestinal motility through the activation of the 5-HT4receptor.However, no previous study demonstrated whether prucalopride [...]

Background: Infectious gastroenteritis is a common cause of morbidity and mortality worldwide. The FilmArray GI panel (GIP) is a multiplex PCR assay that can rapidly detect 21 gastrointestinal pathogens, including 13 bacteria, 5 viruses, and 4 parasites. The GIP has high sensitivity and specificity for most targets and has been widely adopted in clinical practice. [...]

Case Presentation: A 56-year-old female with invasive lobular carcinoma of the breast, diagnosed 8 years prior and currently on neratinib and capecitabine, presented to her oncologist endorsing abdominal pain, vomiting, nausea, and loss of appetite for several days. Despite anti-emetic therapy, symptoms persisted, and she lost weight over the next 6 weeks. Computed Tomography (CT) [...]

Case Presentation: The patient is a 50-year-old male with a past medical history of type 2 diabetes mellitus, hypertension, heavy alcohol use, and one pack per day tobacco use who presented with epigastric abdominal pain, an episode of hematemesis, and a three-week history of nosebleeds and bloody sputum. After admission, the patient described the pain [...]

Case Presentation: A 67-year-old male with a history of Graves’ disease, paroxysmal atrial fibrillation status post cardiac ablation not on anticoagulation, and chronic ibuprofen use presented to the emergency department with progressive dizziness, fatigue. He noted 10 days of black stools. Additionally, patient’s wife reported he had confusion that started yesterday. Patient presented stable on [...]

Case Presentation: 65-year-old man with a history of end stage renal disease on hemodialysis, hypertension, cervical spine stenosis status post surgical decompression presented with melena, a decreased appetite, dysphagia for solids and liquids, and a ninety-pound weight loss over the prior six months. He was admitted with acute hypoxic respiratory failure and stridor requiring endotracheal [...]

Case Presentation: A 17 year-old male with a history of marijuana and nitrous oxide use presented with 4 days of paresthesia in his bilateral lower extremities, sudden onset-ataxia, gait instability, and genital numbness extending to his extremities. Comprehensive infectious and neurologic workup for Guillain-Barré syndrome, transverse myelitis, and other neuropathies all returned negative. Magnetic resonance [...]

Case Presentation: An 86-year-old female with well-compensated cirrhosis due to primary biliary cholangitis (PBC) visited her PMD complaining of a fever of 102.2, nasal congestion, and sore throat that had started 2 days prior and was followed by a rapidly spreading malar rash that developed on the day she presented. The rash started with tiny [...]

Case Presentation: Heyde syndrome is a rare multisystem disorder characterized by the triad of aortic stenosis (AS), gastrointestinal bleeding, and acquired von Willebrand syndrome (AVWS). The pathophysiology of AVWS in Heyde syndrome is thought to be due to the increased circulatory shear forces resulting from AS, leading to cleavage of large VWF multimers and loss [...]