An 83-year-old man presented to the emergency department complaining of epigastric and right upper quadrant pain of 24 hours' duration, with recent coffee-ground emesis. He had eaten store-bought ...

An epigastric hernia describes a lump that develops in the midline between the belly button and breastbone. An epigastric hernia can be painful and tender. The majority of hernias occur in the abdomen ...

Note the location, quality, radiation, severity, and timing of the discomfort: Right upper quadrant discomfort suggests cholecystitis (check the Murphy sign), hepatitis, passive congestion, or ...

Clinical and laboratory findings indicated numerous possible maladies. A CT scan eventually led to the correct diagnosis. A 58-year-old truck driver presented to the clinic complaining of nausea and ...