Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 54: Gastrointestinal Bleeding and a Purpuric Rash (continued)

Karen Krok, MD

A 21-year-old man presented to an outside hospital with 3 weeks of abdominal pain. His symptoms were described as crampy epigastric pain associated with distention and exacerbated by eating. He also described nausea, vomiting, and melena. There was no hematemesis or hematochezia. A few days before his presentation, he developed arthralgias and hematuria. Past medical history was significant for chronic kidney disease due to IgA nephropathy diagnosed 6 months prior. At that time, he had gastroenteritis and acute renal failure. He initiated hemodialysis but had recently changed to peritoneal…
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