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 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
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:...
