Background: Given its ability to identify obscure bleeding at a rate of 0.1-0.5 mL/min, technetium-labeled red cell scans have long been considered the most sensitive radiographic test for gastrointestinal bleeding. They are routinely compared to computed tomography angiography, which detects bleeding at a minimum rate of 0.5 mL/min or greater. We conducted a clinical quality [...]

Case Presentation: A 68-year-old male with a medical history of gastrointestinal stromal tumor (GIST) on Imatinib and paroxysmal atrial fibrillation on Apixaban presented with a 4-week history of progressive dyspnea. He had outpatient evaluation for these symptoms previously at which time COVID-19 testing was negative and chest radiography findings were consistent with pneumonia. He was [...]

Case Presentation: A 72 year-old male patient with recent deceased donor renal transplant was on combined immune suppression with prednisone, tacrolimus and MMF. He Had multiple comorbidities but no previous history of IBD or autoimmune disease. He presented with normocytic anemia (hemoglobin 6.5 g/dL), weakness, anorexia and diarrhea. He was found to have ulcerated hemorrhoids [...]

Case Presentation: A 40-year-old female with morbid obesity, methamphetamine dependence, and tobacco use disorder presented with the one-day onset of diffuse and severe abdominal pain. A review of the systems was positive for nausea, vomiting, inability to tolerate food by mouth, constipation, and diaphoresis but she denied fever, diarrhea, or other related symptoms. Patient-reported using [...]

Case Presentation: A 33-year-old female was initially admitted to the ICU for septic shock secondary to complicated Pseudomonas aeruginosa urinary tract infection and methicillin-sensitive Staphylococcus aureus bacteremia. CT of the abdomen showed fluid in the left paracolic gutter. Aspiration and culture of the fluid was positive for Staph aureus and attributed to seeding from bacteremia. [...]

Case Presentation: A 73-year-old male with chronic kidney disease stage 4 from polycystic kidney disease, diabetes, and hypertension presented 2 days after having a peritoneal dialysis catheter placed complaining of dysphagia, dyspnea, abdominal pain, and worsening lower extremity edema. He was not known to have any prior heart or lung disease. His baseline creatinine was [...]

Case Presentation: A 19-year-old man with past medical history of recently incompletely treated H. pylori presented to the ED with severe abdominal pain, nausea, and vomiting for 20 days. Vital signs were normal, and physical exam was unremarkable. CT abdomen/pelvis showed diffuse gastric wall thickening with mucosal enhancement and mesenteric, gastrohepatic ligament, and para-aortic adenopathy. [...]