Posts Tagged ‘abdominal pain’

Unfolding the Diagnosis

Posted by Sara Fazio • April 4th, 2014

In our latest Clinical Problem-Solving article, a previously healthy, 25-year-old man was admitted to the hospital because of abdominal pain, nausea, vomiting, and weight loss. Fever, chills, and weakness developed 2 weeks before his admission. In protein loss localizable to the gastrointestinal tract, in most cases, the syndrome of protein-losing enteropathy is associated with diseases… Read More…

39-Year-Old Man with Night Sweats and Abdominal Pain

Posted by Sara Fazio • January 31st, 2014

In the latest Case Record of the Massachusetts General Hospital, a 39-year-old man with a history of psoriasis was admitted to the hospital because of night sweats and abdominal pain. Imaging studies showed numerous ill-defined, hypoattenuating lesions in the spleen and mediastinal and hilar lymphadenopathy. Gastrointestinal manifestations of sarcoidosis primarily involve the stomach, and patients… Read More…

Unusual Case of Abdominal Pain

Posted by Sara Fazio • January 3rd, 2014

In our latest Clinical Problem-Solving article, a  41-year-old man presented to the ED with abdominal pain. The pain was excruciating and sudden in onset, originating in his right lower quadrant and radiating to his right groin and flank. He reported nausea and one episode of nonbloody, nonbilious emesis. The initial evaluation of a patient with… Read More…

New Interactive Medical Case, Now with MOC Points!

Posted by Karen Buckley • December 13th, 2013

A 41-year-old man presents with excruciating abdominal pain that was sudden in onset, originated in his right lower quadrant, and radiated to his right groin and flank. The latest Interactive Medical Case, An Unusual Case of Abdominal Pain, is now available for you to test your therapeutic and diagnostic skills. In addition, you may now… Read More…

Enteropathogens in Returning Travelers

Posted by Sara Fazio • May 10th, 2013

Chronic gastrointestinal illness sometimes develops after international travel. The latest review article in our Current Concepts series covers the diagnosis of the major enteropathogens and provides recommendations for treatment. In a recent study that analyzed data from the GeoSentinel Surveillance Network (which consists of 42 specialized travel or tropical-medicine sites located around the world) on… Read More…

Abdominal Pain and Aortic Aneurysms

Posted by Sara Fazio • December 13th, 2012

In the latest Case Record of the Massachusetts General Hospital, a 60-year-old man with abdominal pain had abdominal and thoracic aortic aneurysms suggestive of mycotic aneurysms. The abdominal aneurysm was resected. Cultures were negative; fever persisted. Six weeks later, chest pain developed and the thoracic aneurysm had enlarged. Osler first used the term “mycotic aneurysm”… Read More…

Severe Abdominal Pain during Labor

Posted by Sara Fazio • November 7th, 2012

In the latest Case Record of the Massachusetts General Hospital, a 27-year-old woman was admitted to a hospital in Ethiopia because of severe abdominal pain during labor, with cessation of contractions. She had been in labor at home, pushing for 24 hours. On arrival at the hospital 3 hours later, she was in shock. A… Read More…

Irritable Bowel Syndrome

Posted by Sara Fazio • October 26th, 2012

Various peripheral mechanisms have been implicated in the pathogenesis of irritable bowel syndrome, including intraluminal intestinal irritants, alteration in the bowel microbiome, enteroendocrine-cell products, and susceptibility to inflammation. Recent evidence is summarized in the latest review in our Mechanisms of Diseases series. IBS affects 10 to 20% of the population. Specific peripheral mechanisms result in… Read More…

A 15-Year-Old Boy with Abdominal Pain

Posted by Sara Fazio • August 17th, 2012

In the latest Case Record of the Massachusetts General Hospital, a 15-year-old boy had intermittent abdominal pain and diarrhea for 8 months. The abdomen was mildly tender. There was iron deficiency and occult blood in the stool. A diagnostic test was performed. In an older child presenting with abdominal pain and an abdominal CT scan… Read More…

Abdominal Pain and Weight Loss

Posted by Sara Fazio • July 27th, 2012

In this week’s Case Record of the Massachusetts General Hospital, a 59-year-old man was admitted to the hospital because of 9 months of abdominal pain, vomiting, and weight loss. He was born in a Caribbean country and had been treated for intestinal strongyloidiasis years earlier. A diagnosis of celiac disease had recently been made. S…. Read More…