Note the location, quality, radiation, severity, and timing of the discomfort: Right upper quadrant discomfort suggests cholecystitis (check the Murphy sign), hepatitis, passive congestion, or ...

Physical examination should be used to first identify unstable patients who need immediate attention. 1 Vital signs and body weight should be measured. Dehydration is common because of diarrhea, which ...

In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information by sharing relevant background and reasoning ...

Dr. Akash Gupta (Medicine and Pediatrics): A 6-month-old boy was seen in the emergency department of this hospital because of gastrointestinal bleeding and abdominal pain. The patient had been in his ...

A 53-year-old woman presented with a 6-month history of discomfort and fullness on the right side of her abdomen. She denied having gastrointestinal symptoms, weight loss or back pain. Abdominal ...

Assessment of the patient with constipation includes a thorough history and physical examination, followed by appropriate laboratory and radiological investigations. The tests performed are directed ...

Women and people presenting with suspected endometriosis have an abdominal and, if appropriate, a pelvic examination. The following measures can be used to assess the quality of care or service ...

OBJECTIVE: To assess the relative importance of the extent and regional distribution of fat for metabolic risk factors in young adults. DESIGN: Cross-sectional study of findings from a hospital-based ...

A 17-year-old Black adolescent presents with a 1-day history of acute-onset abdominal pain, palpitations, and anemia. Can you make the diagnosis? A 17-year-old Black adolescent presents to a family ...

Mature cystic teratoma is a germ cell tumour with a bimodal peak of occurrence. It is a benign lesion with very low ...