Case Presentation: A 70 year old man presented with four days of epigastric pain, nausea, vomiting and abdominal distension. He reported 50lbs of weight loss due to decrease in appetite over two months. He denied any hematemesis or melena. Physical exam was unremarkable except for diminished bowel sounds and positive stool guaiac test. CT scan [...]

Case Presentation: 79 yo. female with PMH of A. Fib on Warfarin, HFpEF, Hypertension,PVD, CKD-III who presented to the hospital with generalized weakness and recent falls. Reported gradual decline over about 1 month before admission. She reported that symptoms started with “stomach flu” about 4 days prior with chills, nausea, and abdominal pain. She complained [...]

Case Presentation: A 48 year old female with no significant past medical history presented with acute onset of dysphagia, early satiety, nausea /vomiting and epigastric pain. Epigastric pain and non-bloody non-bilious emesis occurred after each meal. Lab work significant for eosinophilia (absolute eosinophil count 2,084/microL, reference < 500/microL ). CT abdomen and pelvis significant for [...]

Case Presentation: A 45-year-old Vietnamese female with history of H. pylori who presented with worsening nausea, vomiting, epigastric abdominal pain and early satiety. Patient reported her epigastric pain had been intermittent for the past six months but had acutely worsen in the last two weeks. There were no initial inciting events that triggered these symptoms. [...]

Case Presentation: A 68-year-old male with hypertension and benign prostatic hyperplasia presented with progressive abdominal distension and pain. He denied fever, weight loss, gastrointestinal bleeding, or any history of gastrointestinal diseases. Physical examination revealed a distended, non-tender abdomen with normal bowel sounds.Laboratory tests showed elevated lactate dehydrogenase (LDH) at 750 U/L, hyperuricemia at 9.0 mg/dL, [...]

Case Presentation: A 78 year old female with history of gastroesophageal reflux disease, gastritis, hypothyroidism, hypertension, and chronic kidney disease stage 3 was admitted to our tertiary care hospital with complaints of chest pain, bloating, nausea, and feeling of food getting stuck in the epigastric region. She had a longstanding history of gastritis and epigastric [...]