Diagnosis & Disease Information

Severe, unremitting abdominal pain

A number of diagnoses were still considered possibilities as the patient underwent laparotomy. A 9-year-old boy presented to the emergency department (ED) complaining of right upper-quadrant (RUQ) abdominal pain with constipation for four days. He described the pain as severe, continuous, and nonradiating and denied fever, vomiting, diarrhea, or urinary difficulties. The patient’s mother had…

Exercise-induced dyspnea and cough in a physically fit nonsmoker

Following four months of aggravating symptoms and unexplained weight loss, an anxious patient seeks answers. Mr. P, 27 years old, presented with stable cough for the past four months. The cough was intermittent and associated with white sputum in the morning (no odor) and dyspnea on exertion. There was no shortness of breath at rest.…

Ginkgo biloba

Ginkgo biloba is one of the oldest living tree species known. Alsocalled ‘‘maidenhair tree,” “Kew tree,” “fossil tree,” and “Japanese silver apricot,” ginkgo is unique, with no known close living relatives. Often misspelled “gingko,” this tree is native to China but has been successfully cultivated in other parts of the world.1 Ginkgos are medium-sized deciduous…

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