Two women with inflammatory bowel disease present in opposite states of health. How would you manage each?
On hospital day 3, abdominal pain continues for the 57-year-old man, made worse by oral intake. Abdominal US suggests next steps. What would you do?
These symptoms are recurrent despite patient's adherence to enzyme replacement therapy for pancreatitis. Your next step?
After endoscopic retrograde cholangiopancreatography with stone extraction, the picture gets complicated for this 40-year-old woman.
The 31-year-old has not seen a healthcare provider in more than 10 years and claims good health until now. Lab and imaging results tell a different story.
A 62-year-old man is transported to the ED after becoming incontinent in the middle of the night. He has a history of HCV. What do test results suggest?
The patient reports mild fatigue and pruritis but denies jaundice, scleral icterus, abdominal swelling. What’s your impression?
The patient also has a 2-year history of elevated ALP. Results of MRCP and liver biopsy guide next steps. What's your choice?
A 42-year-old woman presents with 1 year of diffuse itching and progressive fatigue. On review of her chart you note a 2-year history of elevated alkaline phosphatase. Her current laboratory results are notable for:
The 21-year-old recently immigrated from Mexico. She has had trouble swallowing both solids and liquids x4 months. The clue to diagnosis is a subtle one.