Case Presentation: A 90-year old female with a medical history of atrial fibrillation, CAD and COPD presented with progressively worsening abdominal pain, nausea and vomiting for the past 3 weeks, which had acutely worsened over the past 1 week. She described the pain as epigastric with radiation to her right flank. Symptoms were aggravated on [...]

Case Presentation: A 61-year-old man presented to the emergency department with acute onset of fevers, myalgias and generalized erythematous rash after taking five weeks of Trimethoprim-sulfamethoxazole (TMP-SMX) for acute prostatitis. Vital signs were notable for fever and tachycardia, with relative hypotension which responded to initial fluid resuscitation. The patient initially denied abdominal pain however the [...]

Case Presentation: A 76 y.o. Caucasian male with a past medical history of heart failure with reduced ejection fraction (HFrEF), atrial fibrillation, HTN, and DVT/PE presented to the ED with a chief complaint of sharp, constant, LLQ abdominal pain and hematemesis x2 days. The patient was hemodynamically stable and exhibited diffuse abdominal tenderness on exam. [...]

Case Presentation: A 38-year-old Asian American male presented with severe non-radiating upper abdominal pain for the previous 18 hours. The pain was exacerbated with deep breathing and movement. He had no significant past medical, surgical, or family history. He drank two alcoholic drinks per week and did not smoke. The only medication he reported taking [...]

Case Presentation: A 46-year-old male with a history of type II diabetes mellitus on metformin presented with five days of severe, post-prandial epigastric pain with inability to tolerate meals. Labs on admission were notable for mild hyperglycemia with finger stick blood glucose between 100 and 200 mmol/L with an anion gap of 21, pH 7.3, [...]

Case Presentation: This is a 35-year old Indian female, living in the United States for the past several years, presented with chronic mid-epigastric and left upper quadrant pain radiating to the back, nausea, and bilious vomiting. She complained of oily loose stools for the past 2 months. Her medical history is notable for insulin-dependent diabetes [...]

Case Presentation: 33 yo Caucasian female with a PMH of Graves’ thyrotoxicosis and recurrent acute pancreatitis was admitted for suspected pancreatitis. She presented with acute onset epigastric pain radiating to back. She denied any associated symptoms. Exam showed yellowish discoloration of skin and epigastric tenderness. Recent ultrasound was negative for cholelithiasis or gallbladder wall thickening [...]