Gastroenterology
Article
Severe, Sharp Right Upper Quadrant and Epigastric Pain
After experiencing severe, sharp right upper quadrant and epigastric pain, nausea, and vomiting, a 63-year-old woman with a history of...
Article
Two Patients with Misdiagnoses Seek Help
An older man has episodes of severe flushing and abdominal pain; a younger man presents with tender "draining boils" in the axillae.
Article
A Case of Suspected Appendicitis
A 19-year-old woman presents to the emergency department with right lower quadrant abdominal pain. What do imaging studies reveal?
Clinical Review
Are You What You Eat?: Pica in Pregnancy
A 37-year-old woman presents with epigastric pain after ingesting several baked clay pellets. What are the adverse consequences of geophagy, and...
Article
Severe, Diffuse Abdominal Pain
How will CT studies guide your diagnosis of this 60-year-old woman’s condition?
Clinical Review
Pediatric Abdominal Trauma: Making a Difficult Diagnosis
The presentation of children with abdominal trauma varies widely, and initial exam findings do not always provide the information needed to make...
Clinical Review
Emergent Management of Constipation in Cancer Patients
Constipation affects more than half of cancer patients with advanced disease and is a common reason for these patients to present to the ED.
Clinical Review
A Toxic Fish Dinner
A woman and her daughter present to the ED with gastrointestinal symptoms, hypotension, and bradycardia. Both have eaten the same fish dinner. The...
Article
Worsening Abdominal Pain
A man has had worsening abdominal pain for several months. What does CT reveal?
Clinical Review
Evaluation and Management of Diarrhea in the ED
Diarrhea is a leading cause of mortality worldwide, which is why this common symptom is a cause for concern and requires careful evaluation. A...
Law & Medicine
Cardiac Work-Up...
Was a cardiac work-up warranted?