| Hint | Most likely diagnosis |
| Case | |
| 72 yo man, Sudden onset severe mid-abdominal pain, hx coronary disease, exam: benign, stool: heme-positive | |
| Man, ER w/multiple episodes of vomiting blood. Has black stool and diarrhea | |
| Duodenal ulcer | |
| Esophageal varices | |
| Man, ER w/multiple episodes of red blood in his stool | |
| 32 yo man, one day of diarrhea | |
| Giardiasis | |
| Cryptospridium | |
| Scombroid histamine fish poisoning | |
| |
| (-) blood in stool, weight loss.' | |
| Carcinoid Syndrome | |
| Lactose Intolerance | |
| 40 yo male, ER w/several days of bloody diarrhea (4xday). T102, P105, BP 112/78 | |
| Vibrio vulnificus | |
| | Hint | Most likely diagnosis |
| Escherichia coli 0157:H7 | |
| Epigastric discomfort that radiates up into the chest, substernal in location. Cough, hoarseness, bad taste in mouth like, 'sucking on pennies' | |
| Several weeks of epigastric discomfort and pain | |
| Non-ulcer dyspepsia | |
| Ulcer disease | |
| 22 yo woman, recurrent episodes of diarrhea, fatigue, abdominal pain, occasional blood. Joint pain, erythema nodosum, uveitis. Hematocrit 32, MCV 90, ESR elevated, alkaline phospha | |
| Crohn's Disease (CD) | |
| Woman, moderate hepatomegaly and elevated AST, ALT, Bilirubin. New spider vnevi on skin | |
| Nonalcoholic steatohepatitis (NASH) | |
| 38 yo man, weight loss, flatulence, diarrhea, malodorous stool, weakness. Bruises easily and Calcium LOW. Hematocrit 29. Sudan black stain positive | |
| Chronic Pancreatitis | |
| Man w/dysphagia & weight loss | |
| Elderly man in ED w/tachycardia, diaphoresis, palpitations, light headed that begins 15-30 minutes after eating. Pt. had surgery in past for nonresolving ulcers. Another 1-2 hours | |
| Pt. w/longstanding Diabetes w/N, V, Anorexia w/early satiety, abdominal 'bloating'. Sometimes diarrhea, sometimes constipation | |
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