Thursday, October 23, 2008

patient with Acute Epigastric Pain


A 47-year-old man presents to the ED with severe, intermittent, gaslike epigastric pain and mild nausea. The abdominal examination reveals exquisite tenderness in the epigastric and bilateral upper quadrant regions, with focal rebound tenderness and guarding. The patient denies having any other abdominal symptoms, and all laboratory investigations are normal.

What is the cause of the patient’s acute abdominal pain?

Case Presentation and Diagnosis

CME/CE Test Questions

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