A 12-year-old girl presenting with hematemesis, melena and gradual abdominal distension

A 12-year-old girl with pneumonia.

This 12-year-old girl was transferred from an outside hospital for treatment of pneumonia. She had been well until 7 days before admission, when she developed what was felt to be cellulitis of her left lower extremity. She was given intravenous clindamycin, and the swelling and erythema improved. However, the following day, she started having respiratory distress, and she was found to have an i...

A 52-year-old man with abdominal pain and distension.

On admission to the hospital, his white blood cell count was 11,200 cells/mL (normal range: 4,000-10,000). Other laboratory tests evaluating hemoglobin, arterial blood gas, and levels of sodium, potassium, blood urea nitrogen, and creatinine were within normal limits. Abdominal radiography revealed numerous opaque shadows (arrows) in the stomach and intestine (Figure 1). What is your diagnosis?...

A 15-year-old girl with fever and abdominal pain.

We present a case of a previously healthy 15-year-old girl with fever, right lower quadrant pain, and hip pain. Her history was notable for a recent laparoscopic appendectomy that was complicated by the development of intraabdominal abscesses. She reported normal bowel movements and good appetite on a regular diet, although she did endorse a recent 5-kg weight loss. Further investigation and ex...

A 4-year-old girl with abdominal pain and fever.

A 12-Year-Old Girl with Persistent Abdominal Pain and Emesis.