Case 1: A 58-Year-Old Woman with Hepatitis C History Diagnosis Management Case Conclusion History This 58-year-old woman with a history of chronic hepatitis C presents for a screening endoscopy after recently being diagnosed with liver cirrhosis. The following abnormality is noted in her lower esophagus. What is the name of this condition, and how is …
Case 2: A 35-Year-Old Woman with Melena History Diagnosis Follow-Up History This 35-year-old woman presents to the ED with a three day history of melena. She reports daily methamphetamine use, and significant alcohol intake. She undergoes an upper endoscopy, which revealed the following adherent exudates in her esophagus, which cannot be washed off with water. …
Case 3: A 74-Year-Old Man with a Bioprosthetic Aortic Valve History Diagnosis Management History This 74-year-old man was referred to the gastroenterology clinic for iron deficiency anemia and a three month history of melena stools. His other medical history is notable for a bioprosthetic aortic valve replacement two years ago for severe aortic stenosis. On …
Case 3: A 74-Year-Old Man with a Bioprosthetic Aortic Valve Read More »
Case 4: A 64-Year-Old Woman with Coffee Ground Emesis History Diagnosis History This 64-year-old woman, who was admitted to the general internal medicine ward with pneumonia, began having coffee ground emesis one day after her initial presentation. The following ulcer (see video below) was found in the proximal duodenum on upper endoscopy. What is the lesion’s …
Case 5: A 37-Year-Old Female with Bloody Diarrhea History Diagnosis Case Conclusion History This 37-year-old previously healthy female presents with a three month history of bloody diarrhea. She reports that during the same time, she has been experiencing abdominal cramping, tenesmus, and 20 lbs of weight loss. During her colonoscopy, the mucosa appears irregular (figure …
Case 5: A 37-Year-Old Female with Bloody Diarrhea Read More »
Case 6: A 73-Year-Old Woman with Abdominal Pain History Diagnosis History This 73-year-old woman presents for colonoscopy with a one year history of diffuse lower abdominal pain, associated with 30 lbs of unintentional weight loss. During the procedure, she is identified to have the following. What are the four potential complications of this condition? …
Case 6: A 73-Year-Old Woman with a History of Abdominal Pain Read More »
Case 7: An 83-Year Old Man with Palliative Prostate Cancer History Diagnosis Management Follow-Up History This 83-year-old man was diagnosed with prostate cancer 3 years ago, which was treated with a transurethral resection of the prostate (TURP) and palliative radiation. Today, he presents to the ED with weakness, anemia, and a two week history of …
Case 9: A 52-Year-Old Woman with Decompensated Cirrhosis History Diagnosis Management History This 52-year old woman with decompensated alcohol-associated liver cirrhosis presents to the emergency department with a one day history of coffee-ground emesis, melena, and abdominal pain. Her hemoglobin is noted to have dropped to 84 from 118 one month prior. She reports that …
Case 9: A 52-Year-Old Woman with Decompensated Cirrhosis Read More »
Case 11: A 53-Year-Old Man with Hematemesis History Diagnosis History This 53-year-old man with decompensated alcohol-associated liver cirrhosis with ascites and known esophageal varices presents to the ED with a one day history of coffee-ground emesis, hematemsis, and melena. An upper endoscopy is performed, which reveals the following mucosal changes in the fundus, body, and …
Case 10: A 64-Year-Old Man with Dysphagia History Diagnosis Follow-Up Conclusion History This 64-year-old man presents with a two year history of progressive dysphagia to solids. He reports a childhood history of asthma, as well as a recent episode of food impaction after eating spaghetti. He denies any history of acid reflux, and does not …
