Gastroenterology

The Clinical Picture

An unusual complication of peritoneal dialysis

Author:

Mohamad Hanouneh, MD

Pranav Damera

Mehrdad Fetrat, MBBS, MD

Duvuru Geetha, MD

A 42-year-old man, on peritoneal dialysis for 15 years, presented with abdominal pain, nausea, vomiting, and fever.

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Reviews

Gallstones: Watch and wait, or intervene?

Author:

Mounir Ibrahim, MD

Shashank Sarvepalli, MD

Gareth Morris-Stiff, MD, PhD

Maged Rizk, MD

Amit Bhatt, MD

R. Matthew Walsh, MD

Umar Hayat, MD

Ari Garber, MD, EDD

John Vargo, MD

Carol A. Burke, MD

Consider laparoscopic cholecystectomy for symptomatic cholelithiasis, expectant management for asymptomatic cases.

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Reviews

Primary care management of chronic pelvic pain in women

Author:

Rachel Bonnema, MD, MS

Megan McNamara, MD, MSc

Jennifer Harsh, PhD, LMFT

Elizabeth Hopkins, PT, DPT

While referral may eventually be indicated, primary care doctors can take steps to diagnose and manage the condition.

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The Clinical Picture

Gas under the right diaphragm

Author:

Hiroki Matsuura, MD

Hidenori Hata, MD, PhD

The patient was found to have volvulus and obstruction of the bowel.

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From the Editor

To have not and then to have: A challenging immune paradox

Author:

Brian F. Mandell, MD, PhD

The immune reactivation syndrome can occur when the immune system in an immunosuppressed patient with a partially controlled indolent infection is...

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The Clinical Picture

Drug reaction or metastatic lung cancer?

Author:

Hiromichi Hara, MD, PhD

Hirofumi Utsumi, MD, PhD

Hiroshi Wakui, MD, PhD

Haruhiko Yanagisawa, MD, PhD

Mitsuo Hashimoto, MD, PhD

Kazuyoshi Kuwano, MD, PhD

Imaging shows nodules randomly distributed throughout both lungs, a paradoxical reaction to drug therapy.

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IM Board Review

Fever after recent travel

Author:

Habib Rehman, MBBS, FRCPC, FRCPI, FRCP (Glas), FACP

The patient had been taking a TNF-alpha inhibitor and had recently returned from Mexico.

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IM Board Review

Abdominal pain and bloody diarrhea in a 32-year-old woman

Author:

Neha Agrawal, MD

Amandeep Singh, MD

Thomas Plesec, MD

David Liska, MD

Bradley Confer, DO

Jessica Philpott, MD, PhD

Florian Rieder, MD

The patient also has numerous painful ulcerations on her skin and in her mouth.

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Reviews

A minimally invasive treatment for early GI cancers

Author:

Lady Katherine Mejía-Pérez, MD

Seiichiro Abe, MD

Tyler Stevens, MD

Mansour A. Parsi, MD

Sunguk N. Jang, MD

Ichiro Oda, MD

John J. Vargo, MD, MPH

Yutaka Saito, MD, PhD

Amit Bhatt, MD

Endoscopic submucosal dissection allows curative resection of early malignant gastrointestinal lesions.

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The Clinical Picture

Heartburn or heart attack? A mimic of MI

Author:

Willis S. Bowman, MD

Amir Farid, MD

Paul Aronowitz, MD, FACP

The diagnosis: milk-alkali syndrome, complicated by thiazide use.

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