Case Presentation: A 64 year-old woman with no significant past medical history presented with nausea, vomiting, 50 lb. weight loss and generalized weakness for the past 6 months. Her primary care physician had prescribed treatment for possible reflux; symptoms did not improve. Three months prior, the patient was admitted to a community hospital where CT [...]

Case Presentation: A previously healthy 13-year-old female presented to a pediatric emergency department with 5 days of abdominal pain, emesis, headache, arthralgia, and fever. Vital signs included temperature of 100.2 F, heart rate of 122 beats/minute, normal blood pressure for age, and oxygen saturation of 99% on room air. She was ill appearing with bilateral [...]

Case Presentation: A 16-month-old male with a history of reactive airway disease presented to clinic for evaluation of vomiting for four months. He had a history of chronic cough and had been started on acid suppression for gastroesophageal reflux but did not have any improvement in symptoms. His physical examination was unremarkable. He also had [...]

Case Presentation: A 46 year-old male from India presented with acute epigastric abdominal pain, dysphagia, decreased appetite, nausea, and generalized weakness. This case starts 6 months prior to admission when he was found to have an elevated creatinine at a routine primary care visit. Subsequently, due to worsening kidney function, a kidney biopsy was performed [...]

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: An 11-year-old female with history of T4 paraplegia after an MVC requiring extensive intrabdominal surgical intervention, neurogenic bowel and bladder and malnutrition presented to the ED with intractable vomiting and left shoulder pain. Acute vomiting started earlier in the day while she was being straight catheterized as per routine and continued throughout the [...]

Case Presentation: A seventeen year-old male was admitted for two weeks of intractable nausea and vomiting in the setting of daily marijuana use over the last two years. Symptoms were associated with weight loss (9 kg over 2 weeks) and temporarily improved with frequent hot showers (Figure 1). Despite the use of commonly effective antiemetic [...]