Gastroenterology Cases & Quizzes

 
 
  • A 26-Year-Old Man With Abdominal Pain A 26-year-old man presents with recurrent abdominal pain, distention, and vomiting for 5 months. An x-ray demonstrates air-fluid levels suggesting a small-bowel obstruction. What is the diagnosis?
  • A 27-Year-Old Man With Hyperemesis and Hematemesis A 27-year-old man presents with a 2-day history of hyperemesis followed by episodes of hematemesis. Which of the following is the most likely diagnosis?
  • A 16-Year-Old Girl With Pain After a Hug A 16-year-old girl presents with severe abdominal pain following a hug. The pain is sharp, constant, intense in the right upper quadrant, and radiates to her right shoulder. What's the diagnosis?
  • Laparoscopic Sleeve Gastrectomy   Laparoscopic sleeve gastrectomy for morbid obesity.
  • Fast Five Quiz: Peptic Ulcer Disease The course of peptic ulcer disease ranges from spontaneous resolution to the development of potentially serious complications, such as bleeding and perforation. Test yourself with this short quiz.
  • Acute Onset of Abdominal Pain in a 76-Year-Old Man An elderly man presents with sudden-onset abdominal pain centered in the epigastrium that is described as deep and burning. Hyperactive bowel sounds are heard on auscultation. What is the diagnosis?
  • Fast Five Quiz: Crohn Disease Crohn disease typically involves abdominal pain and diarrhea. Appropriate treatment is associated with a good overall prognosis and low risk for a fatal outcome. Test yourself with this quick quiz.
  • A 24-Year-Old Man With Symptomatic Anemia A 24-year-old man presents with symptomatic anemia. His primary symptoms are exertional dyspnea, generalized fatigue, and some mild chronic nausea. What's the diagnosis?
  • Case: Probiotics for Ulcerative Colitis? A 45-year-old woman with ulcerative colitis is having difficulty with her medication and would like to try probiotics. How would you advise this patient?
  • Fast Five Quiz: Bacterial Gastroenteritis Bacterial gastroenteritis can range from mild to severe and usually manifests with symptoms of vomiting, diarrhea, and abdominal discomfort. Test your knowledge with our quick quiz.
  • A 76-Year-Old Woman With Abdominal Pain A 76-year-old woman presents to the ED with diffuse, constant, acute-onset intense abdominal pain. She feels nauseous and has had 2 liquid bowel movements. What is the diagnosis?
  • Laparoscopic Gastropexy for Gastric Volvulus   An 86-year-old woman presents with organoaxial volvulus within a paraesophageal hernia. How can gastropexy be performed successfully, and succinctly, in this high-risk patient?
  • A Patient With Endoscopic Recurrence of Crohn Disease A 24-year-old man with a history of Crohn disease is asymptomatic, but a routine surveillance ileocolonoscopy shows endoscopic recurrence. How would you manage this patient?
  • A 60-Year-Old Man With Intense Left-Sided Abdominal Pain A 60-year-old man presents with a 1-day history of crampy, left-sided abdominal pain. No urinary symptoms are reported, and he has not had any recent contact with sick people. What's the diagnosis?
  • A 30-Year-Old Woman With Chronic Abdominal Pain and Diarrhea A 30-year-old woman presents with recurrent abdominal pain and loose stools. Acute worsening occurs immediately before defecation, with improvement after defecation. What's the diagnosis?
  • Patient's Relapsing IBD Prompts Closer Look at Her Prior Flares A 38-year-old woman returns with her first flare in 8 months and an opinion on how best to treat it. Is the best step to take her advice or another path?
  • A 33-Year-Old Man With Problems Swallowing Food A 33-year-old man complains of food getting stuck in his esophagus. He states that he has had problems with swallowing solid food since childhood. What's the diagnosis?
  • Fast Five Quiz: Acute Pancreatitis Recognizing patients with severe acute pancreatitis as soon as possible is critical. Are you prepared to confront this condition? Test yourself with our quick quiz.
  • A 61-Year-Old Woman With Intermittent Worsening Abdominal Pain A 61-year-old woman with a history of diabetes mellitus presents with worsening intermittent epigastric pain for the past month. Imaging of the abdomen is performed. What do the findings suggest?
  • Fast Five Quiz: Diverticulitis Diverticulitis is generally a disease of the elderly, but as many as 20% of patients are younger than 50 years. Do you know what to watch for and best practices? Test yourself with our quick quiz.