A 56-year-old Vietnamese woman with recurrent right upper quadrant pain and abnormal liver tests presented to clinic. Medical history was obtained verbally from the patient and her daughter, without ...

A 32-year-old woman with a recent dry cough presents to the emergency department (ED). The patient reports a 6-day history of right upper quadrant pain that is worse when she coughs, moves, laughs, or ...

A dull aching or sharp shooting pain on the right side of the abdomen that is below the lower right ribs after meals is a common complaint seen in clinics and emergency rooms. Many people misdiagnose ...

Pain on the right side of the abdomen under the ribs is a common complaint. We’ve all felt it at some point. The pain may be sharp or dull. Perhaps it was sudden or slowly crept up on you. At the ...

A choledochocele is a very uncommon anomaly of unknown etiology. It represents a focally dilated segment of extrahepatic bile duct that protrudes into the duodenum. It is thought to be congenital in ...

Upper abdominal pain can occur due to muscle strain or an underlying condition. If you have additional symptoms like sharp pain and fever, you may require urgent medical care. The upper part of your ...

A tale as old as time (or as old as the Internet): You feel any sort of pain in your body and head straight to the internet hoping for a definitive diagnosis and don’t get one. Then you spend the next ...

In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information, sharing his or her reasoning with the reader ...

A 52-year-old woman presents to the emergency department with bloating and right-sided chest/rib pain that radiates to her back and epigastric area. She notes that the bloating started approximately 8 ...