Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 51: Unexpected Cause for Persistent Nausea And Vomiting (continued)

Kerry Dunbar, MD

A 67-year-old man was transferred from another hospital for evaluation of 6 months of nausea and vomiting. The nausea and vomiting were worsened by food intake but persisted even when the patient did not eat. Antiemetic medications provided some relief, but he continued to have a poor appetite and weight loss. He denied hematemesis, bloody stools, diarrhea, fever or chills, but did complain of fatigue, weight loss, pruritis, and a history of a red rash on his legs that had resolved prior to admission. Past medical history was significant for hypertension, coronary artery disease…