Case Presentation: A 60-year-old African woman presented to the emergency department with three days of abdominal pain, nausea, and vomiting. She had recently returned from a ten-month trip through rural Ethiopia where she consumed unpasteurized milk and well water with exposure to goats, cats, and livestock. Her medical history was otherwise unremarkable. On exam, she […]

Case Presentation: A 49 year old female presented to the emergency room with one day history of severe abdominal pain. Past medical history includes hypertension, breast cancer status post lumpectomy and chemotherapy, now on tamoxifen therapy. Epigastric bdominal pain was acute in onset and radiated to the back. The patient denied symptoms of biliary colic […]