Case Presentation: A 67 year old woman presented with right upper quadrant abdominal pain and was diagnosed with acute cholecystitis. She underwent elective cholecystectomy, complicated by Clostridium difficile colitis. Despite treatment with oral Vancomycin, she had persistent diarrhea and failure to thrive for a month. Repeat Clostridium difficile toxin was negative. Esophagogastroduodenoscopy showed erosive gastritis [...]

Case Presentation: A previously healthy 12 month old presented to the emergency department with three weeks of progressively worsening generalized edema and one week of fatigue and pallor. Patient was born at term, and growth and development had been appropriate. Mother had stopped breastfeeding several weeks prior to presentation, just before patient’s first birthday. Patient’s [...]

Case Presentation: A 74-year-old female with a history of hypertension on olmesartan presents to the emergency department with acute worsening of chronic watery diarrhea and is hospitalized for failure to thrive.The diarrhea has been ongoing for a year but has progressively worsened over the past month, with large volume watery bowel movements unrelated to oral [...]

Case Presentation: A 54-year-old Japanese man presented to his primary care physician with a 3-month history of epigastric pain, fever, and unintentional weight loss. Upper endoscopy showed only a gastric polyp. Abdominal computed tomography showed small intestinal dilatation accompanied by adhesion to the sigmoid colon, and perianal abscess. Crohn’s disease was suspected and he was [...]

Case Presentation: A 54-year-old woman presented with six months of diarrhea and weight loss, and three months of abdominal distension. Her abdomen was distended and diffusely tender to palpation. Initial labs were notable for an albumin of 3.4 with normal bilirubin, AST, and ALT. Cross-sectional imaging demonstrated large ascites without evidence of liver pathology or [...]

Case Presentation: A 70-year-old man presented with 3-months of profuse watery diarrhea and 40 lb. weight loss. Two months prior, he was seen at an outside facility where he underwent extensive non-diagnostic work-up of his symptoms with lab testing, imaging, esophagogastroduodenoscopy (EGD), and colonoscopy. At that time, his serum pancreatic elastase-1 level was low, prompting [...]

Case Presentation: A 14-month-old male with history of hemihypertrophy of left lower extremity and macrodactyly of the left third to fifth toes, as well as syndactyly of third and fourth toes, presented to the ER because of facial swelling and anasarca. The swelling began 10 days prior to admission, diagnosed initially as bilateral preseptal cellulitis [...]

Case Presentation: The patient is a 66-year-old female with a pertinent past medical history of Deep Vein Thrombosis on Eliquis, Hyperlipidemia, Osteopenia, Generalized Anxiety Disorder, Major Depressive Disorder, and Hypertension who presented with a chief complaint of persistent generalized abdominal pain, nausea, vomiting, and watery diarrhea. This was the patient’s fourth admission to the hospital [...]