Tag Archives: abdominal pain
Contrast-enhanced abdominal computed tomography scan. (A) Diffuse bowel wall thickening of 13 mm showing the “target sign” (arrows). (B) Engorgement of mesenteric vessels or ‘‘comb sign’’ (arrow head) and bladder wall thickening (asterisk).

Recurrent Abdominal Pain in Systemic Lupus Erythematosus: Concurrent Lupus Enteritis and Lupus Cystitis

A 44-year-old woman was admitted to the hospital in March 2017 with a 5-day history of abdominal pain, vomiting, diarrhea, dysuria, and urinary frequency. She was afebrile, normotensive, and in sinus tachycardia. Her abdomen was distended and diffusely tender. Bowel sounds were hyperactive. No abdominal guarding or rebound pain in response to deep palpation was […]

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Magnetic resonance cholangiopancreatography demonstrating small filling defects in the distal common bile duct.

A Simpler Answer – After All This Time

There is an allure associated with a rare diagnosis. Diagnosis momentum refers to the “stickiness” of a diagnosis once it is attached to the patient,1 and is one example of a cognitive bias that can lead to diagnostic errors. This can lead to misattribution of symptoms to a patient’s existing (even incorrect) diagnosis if clinicians do […]

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Colon Adenocarcinoma Presenting as Plummer-Vinson Syndrome

  Colon cancer is a leading cause of cancer mortality. It could be asymptomatic but usually presents with bowel movement changes and anemia. We present a case of colonic adenocarcinoma that presented with Plummer-Vinson syndrome. A 66-year-old woman presented with a 3-month history of dysphagia. She had progressive dysphagia to solid foods that led to […]

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Possible pathophysiology of thyrotoxicosis-induced vomiting.

A Grave Case of Vomiting

A 60-year-old woman presented with intractable nausea and vomiting, which had progressively intensified over the past 2 weeks. Her past medical history was remarkable for mild thrombocytopenia and mildly elevated liver enzymes. Her vomiting was triggered by oral intake, nonbloody and nonbilious, and associated with nonresolving epigastric pain, dysphagia, anorexia, and weight loss. She had […]

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Contrast-enhanced computed tomography of the abdomen in coronal view showing peripancreatic inflammatory changes consistent with acute pancreatitis.

Hypertriglyceridemia-Induced Acute Pancreatitis with Normal Pancreatic Enzymes

To the Editor: The diagnosis of acute pancreatitis requires 2 of the following 3 features: 1) abdominal pain consistent with acute pancreatitis; 2) serum lipase activity (or amylase activity) at least 3 times greater than the upper limit of normal; and 3) characteristic imaging findings of acute pancreatitis.1 Although normal serum amylase levels have been reported […]

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doctor gives a physical examination of a patient

Gas Within the Bladder

To the Editor: An 83-year-old woman with a medical history of hypertension, chronic renal failure, and diabetes mellitus came to the emergency department of our clinic after 2 days of fever, asthenia, adynamia, and hypogastric abdominal pain associated with dysuria, polyuria, and bladder tenesmus. Her family reported that she had been increasingly fatigued in the […]

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