Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 8: Fever, Flood Water, And Gastritis (continued)

Geoffrey Nguyen, MD, PhD

A 76-year-old woman was admitted with a 1 week history of diffuse, intermittent abdominal pain and nonbilious emesis after her home had been destroyed by a flood. She reported watery diarrhea coupled with occasional bouts of melena, as well as subjective fever on the day of admission. Past medical history was notable for diabetes mellitus, hypertension, and Paget’s disease. Medications included aspirin and omeprazole. Upon arrival in the emergency room she was febrile to 39°C, but other vital signs were normal. The remainder of her physical examination was notable only for…