a 48-year-old man with epigastric pain and melena

A 48-year-old Man with Epigastric Pain and Melena

A 48-year-old male patient was presented to the emergency department with complaint of epigastric pain and melena that had started 3 days ago. The pain had started suddenly and progressed and after a while, he had passed melena stool. He also mentioned some episodes of vomiting that was not bloody. The pain score was about 8/10 (based on verbal quantitative scale) and slightly radiated to his b...

A 50 Year Old Man with Fever and Abdominal Pain

The patient is a 50-year-old man who has been diagnosed with abdominal pain, fever, shivering and constipation with nausea and vomiting with a possible diagnosis of typhoid. Computed tomography (CT) of the abdomen and pelvis was performed by injection of contrast agent for the patient. What is your diagnosis?

Persistent epigastric pain in an 80-year-old man.

one-week history of constant epigastric pain and left-sided exertional chest pain. On the day of presentation, he had experienced four episodes of nonbilious vomiting, but had no other gastrointestinal symptoms. He did not report fever, chills or sweats. There was no history of recent travel or contact with an ill person. His medical history included hypertension, type 2 diabetes mellitus, dysl...

A 48-year-old man with a pleural-based consolidation.

Confusion and lethargy in a 48 year old man.

A 48 year old retired fireman was admitted with a one week history of confusion, lethargy, and generalised weakness. This was associated with a non-productive cough for which he had been prescribed oral amoxycillin. He had a history of hypertension and was on lisinopril 20 mg daily. He was a smoker of 30 pack years and consumed 30 units of alcohol per week. On admission his temperature was 37.7...

A 48-year-old Somali woman with hip pain.

Figure 1. Noncontrast computed tomography scan of the pelvis. The arrow points to a lytic lesion in the posterior mid-right ilium characteristic of a space-occupying hydatid cyst. Diagnosis: hydatid cyst bone disease. Cysts removed from the iliac bone cavity (figures 1 and 2) were consistent with hydatid cysts due to Echinococcus species. Microscopic examination confirmed the diagnostic feature...