Case Presentation: A 23-year-old man with cystic fibrosis presented to the Emergency Department with a two-day history of gradual, persistent, right sided abdominal pain associated with dark, tarry stools. He was afebrile with unremarkable vital signs. Exam was notable for generalized abdominal tenderness most noticeable in the right lower quadrant and a normal rectal exam. [...]

Case Presentation: A previously healthy 4-year-old female born in Mexico was sent to the emergency department for elevated blood pressures noted at her routine outpatient clinic visit. On arrival, her blood pressure was 161/126. The patient reported polydipsia, polyuria, and weight loss. Her initial physical exam was unremarkable and her vitals were otherwise within normal [...]

Case Presentation: A 45-year-old female with no significant medical history presented to the ED with three days of sharp epigastric pain radiating to the right lower quadrant associated with fever, chills, and multiple episodes of non-bilious, non-bloody emesis. She denied chest pain, shortness of breath, or bruising. Physical examination revealed normal vital signs except a [...]

Background: Abdominal aortic aneurysm (AAA), defined as aortic diameter ≥ 3.0 cm, affects an estimated 1.5% to 1.7% of men aged 65 or older. It was estimated that a ruptured AAA has a mortality rate of 75% – 90%. Screening for AAA with an abdominal ultrasound is relatively cost-effective. It was noted that screening for [...]

Case Presentation: Two months after chronic use of an abdominal binder made for weight loss and waist shaping, a 38 year-old woman presented with anuria and amenorrhea. The patient also reported nausea, bilious vomiting, extreme sensitivity to smell, and a chronic penny-like taste in the mouth. She was found to have end-stage renal disease. Workup [...]

Case Presentation: A morbidly obese, but otherwise healthy, 57 year old male, presented to his initial visit with his primary care provider with complaints of dysphagia, vomiting, and unintentional weight loss of 15 pounds over the previous month. He reported a sudden onset of vomiting after eating a large meal about a month prior. Following [...]

Case Presentation: A 64-year-old woman with a history of cholecystectomy and chronic intermittent abdominal pain presented with acute onset of right upper quadrant pain and vomiting. On admission, she was afebrile and nontoxic appearing with mild epigastric tenderness. Labs showed an elevated AST/ALT, total bilirubin, and alkaline phosphatase. Abdominal ultrasound showed a dilated common bile [...]

Case Presentation: Acute cholecystitis is a very common disease, suspected by the patient’s history and physical examination, confirmed by ultrasonographic imaging, and supported by lab findings suggestive of obstructive jaundice. Our patient had an atypical presentation of cholecystitis, secondary to her atypical anatomy. We present a 61 year old Hispanic woman with past medical history [...]

Case Presentation: A 64 year-old man with a history of coronary artery disease status post 5-vessel coronary artery bypass grafting and subsequent percutaneous coronary intervention, essential hypertension, hyperlipidemia, and type 2 diabetes mellitus (DM) presented to the hospital with a 4 month history of chronic progressive abdominal pain and diarrhea with a 70 pound unintentional [...]

Case Presentation: A 60-year-old female with a history of hypertension, mild hypercalcemia, ESRD on hemodialysis, and pulmonary fibrosis status-post right lung transplant 6 years prior presented with acute on chronic diffuse abdominal pain, nausea, and diarrhea for 7 months.  She had no recent hospitalizations, antibiotic use, or sick contacts. She was seen multiple times in [...]