Matthew J. Mckinley, MD | Authors

Rutgers NJMS



Diagnostic Dilemma: GI Disease

March 01, 2008

An 85-year-old woman presented to the emergency department with epigastric pain and nausea for 2 days. She denied vomiting, fever, or early satiety. The patient stated she had lost 10 pounds over the past 3 months. A CT scan of the abdomen revealed a 1 cm low attenuation lesion in the second portion of the duodenum.

Diagnostic Dilemma: GI Disease

January 01, 2008

A 68-year-old man with a history of small-cell lung cancer with bony metastases was admitted with diarrhea. The patient had completed chemotherapy one week earlier with cisplatin and etoposide, along with radiation therapy, and irinotecan (Camptosar). The patient was found to be neutropenic.

Diagnostic Dilemma: GI Disease

November 01, 2007

This 47-year-old man underwent surveillance colonoscopy for a history of an adenomatous polyp. He has a history of hemorrhoids and occasional bright red blood on the toilet tissue. There is no history of diarrhea, constipation, or abdominal pain.

Diagnostic Dilemma: GI Disease

September 01, 2007

This photograph is from an upper gastrointestinal endoscopy on a 15-year-old male. He has a history of a total colectomy and is being evaluated for iron deficiency anemia. He denies abdominal pain, weight loss, and melena. He notes occasional bright red blood on the toilet paper but denies hematochezia.

Diagnostic Dilemma: GI Disease

August 01, 2007

A 72-year-old man is referred for evaluation of abnormal liver chemistries. He has a history of unresectable pancreatic cancer (adenocarcinoma of the head).

Diagnostic Dilemma: GI Disease

July 01, 2007

Early metabolic imaging with positron emission tomography (PET) identifies responders to neoadjuvant chemotherapy for advanced adenocarcinoma of the esophagogastric junction

Diagnostic Dilemma: GI Disease

June 01, 2007

The patient is referred for evaluation of this chronic progressive dysphagia. Upper gastrointestinal endoscopy is performed. The photograph is taken in the esophagus.

Diagnostic Dilemma: GI Disease

May 01, 2007

A 45-year-old man with chronic ulcerative colitis for more than 10 years presents with diarrhea for 4 days. The diarrhea is nonbloody, watery, and associated with abdominal pain, nausea, vomiting, low-grade fevers, and chills for 2 days. The abdominal pain was diffuse, but worse in the right upper quadrant.

Diagnostic Dilemma: GI Disease

March 01, 2007

Barrett's esophagus and documented high-grade dysplasia (HGD)

Diagnostic Dilemma: GI Disease

February 01, 2007

This 72-year-old woman undergoes surveillance colonoscopy. She has a history of small colonic adenomas removed from the distal colon and of a sessile hyperplastic polyp in the cecum. Prior biopsies have demonstrated only hyperplastic changes and no evidence of adenomatous or dysplastic features. Her last colonoscopic examination was more than 3 years ago.