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The document comprises several medical case presentations and related discussions. In the first case, a 58-year-old male presenting with upper GI bleeding is discussed. Initial management steps include IV access, IV fluids, and proton pump inhibitors. The most common cause of upper GI bleeding in the US is peptic ulcer disease, often associated with NSAIDs and Helicobacter pylori infection. EGD is the preferred initial test for evaluating and treating upper GI bleeding. Treatment options for a bleeding ulcer include epinephrine injection, clip placement, and cautery.<br /><br />Case two involves a 54-year-old woman with severe epigastric pain, leading to a diagnosis of acute pancreatitis. The primary causes of acute pancreatitis in the US are gallstones and alcohol. Evaluation includes liver function tests, pancreatic enzymes, and CBC. Treatment aims to lower triglyceride levels and hydration.<br /><br />Case four presents a 54-year-old man with a pancreatic mass necessitating an endoscopic ultrasound for tissue diagnosis, leading to a diagnosis of pancreatic cancer. ERCP is recommended for biliary obstruction, with metal stents preferred for longer patency. In the last case, a 29-year-old female with Crohn's Ileitis is successfully managed with Adalimumab therapy after non-responsiveness to standard treatment.<br /><br />The cases illustrate the importance of prompt diagnosis, tailored treatments, and appropriate follow-up strategies in managing various gastrointestinal conditions, ranging from upper GI bleeding and peptic ulcers to acute pancreatitis, pancreatic cancer, and Crohn's disease.

Asset Subtitle

Jennifer Seminerio, MD, and All Faculty

Keywords

medical case presentations

upper GI bleeding

peptic ulcer disease

acute pancreatitis

pancreatic cancer

Crohn's Ileitis

NSAIDs

Helicobacter pylori infection

endoscopic ultrasound

Adalimumab therapy