Posts Tagged ‘abdominal pain’

Take the New Interactive Medical Case!

Posted by Karen Buckley • April 9th, 2015

A 43-year-old man with a 6-week history of abdominal pain and diarrhea. The pain was initially epigastric and occurred after eating but then became more constant and diffuse.  The patient rated the pain at 7 on a scale of 0 to 10, with 10 being the most severe pain.  The diarrhea began gradually and was… Read More…

Abdominal Pain, Dyspnea, and Diplopia

Posted by Carla Rothaus • January 27th, 2015

Peripheral causes of acute generalized weakness include motor neuronopathies, acute acquired polyneuropathies, myopathies, and presynaptic and postsynaptic neuromuscular-transmission disorders. Clinical Pearls – Is botulism a presynaptic or postsynaptic neuromuscular-transmission disorder? Botulism is a toxin-mediated disease that results in the presynaptic blockade of acetylcholine transmission across the neuromuscular junction.  – What is adult intestinal toxemia? Adult intestinal… Read More…

Abdominal Pain, Syncope, and Hypotension

Posted by Carla Rothaus • January 16th, 2015

In the latest Case Record of the Massachusetts General Hospital, a 25-year-old man was admitted to the hospital because of abdominal pain, syncope, and hypotension that occurred while he was lifting heavy boxes. An abdominal ultrasound examination revealed a hypoechoic lesion in the liver. A diagnostic test was performed. Rupture or leak of hydatid-cyst fluid… Read More…

Against the Grain

Posted by Sara Fazio • October 3rd, 2014

In the latest Clinical Problem-Solving article, a 42-year-old man with a history of coronary artery disease presented to the emergency department with left-upper-quadrant abdominal pain that radiated to his back and along the subcostal margin. He also reported substernal chest pressure similar to his usual angina. Elevated lipase and amylase levels can be indicative of… Read More…

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…