33-Year-Old Woman With Epigastric Pain and Hematemesis

A 33-year-old woman from Zimbabwe

with AIDS and a CD4 count of 6 cells/mm3, non-compliant with antiretroviral therapy, presented with severe headaches, vomiting, fevers, and a productive cough. Physical examination revealed tachycardia, a temperature of 39.4°C, clear lungs, and an absence of meningeal signs. Laboratory studies showed a white blood cell count of 4.8 and hemoglobin of 10.1 g/dL. A lumbar puncture was consistent w...

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 48-year-old man with epigastric pain and melena

a 48-year-old male patient presented to the emergency department with the complaints of epigastric pain and melena for the past 3 days. the pain was started suddenly and has progressed and after a while, he 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 back. he loo...

49-year-old woman with chest pain.

Gastrointestinal Tuberculosis with Cecum Involvement in a 33-Year-Old Woman

Abdominal tuberculosis is one of the most prevalent forms of extra-pulmonary tuberculosis. Various regions of gastrointestinal tract including cecum, terminal ileum, peritoneum, lymphatic system, and solid viscera can be affected by tuberculosis. Here we report a 33-year-old woman presented with fever, chills, and a history of abdominal discomfort. Lymphadenopathy was detected on physical exami...