A Patient with Suspected Irritable Bowel Syndrome

A Patient with Suspected Irritable Bowel Syndrome

A 26-year-old woman presents with symptoms of intermittent abdominal pain, bloating and looser stools for the past few months. You consider a diagnosis of irritable bowel syndrome (IBS), but plan to organise some investigations first to exclude more serious pathology....
A 23-Year-Old Woman with Lower Abdominal Pain

A 23-Year-Old Woman with Lower Abdominal Pain

A 23-year-old woman presents with lower abdominal pain, dysuria, dyspareunia, and purulent vaginal discharge. A pregnancy test performed today is negative. She is afebrile and her observations are normal. On examination, her abdomen is soft but she cervical motion...
Sudden Onset Severe Abdominal Pain

Sudden Onset Severe Abdominal Pain

A 68-year-old man with a history of rheumatoid arthritis presents with sudden onset severe abdominal pain. On examination his abdomen is rigid, with generalized tenderness, guarding and rebound tenderness. An erect chest X-ray is performed, which is shown below:...
A 65-Year-Old Woman with Abdominal Pain and Syncope

A 65-Year-Old Woman with Abdominal Pain and Syncope

A 65-year-old woman presents to the Emergency Department acutely unwell with abdominal and lower limb pain. She had a syncopal episode in the department and was moved into the resuscitation area. She had been taking prednisolone for polymalgia rheumatica until...

Pin It on Pinterest