Anal Pruritus: Not Always Hemorrhoids

Enterobiasis
A 32-year-old woman presents with anal pruritus and bleeding. While hemorrhoids are suspected, the true cause is an unexpected parasitic infection.
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A Curious Case of Chronic Bloating

Intestinal lipomatosis
A 74-year-old woman presents with chronic bloating. CT reveals unexpected fat-containing lesions throughout her small bowel. What is the diagnosis?
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A Difficult Swallow: An Elderly Patient’s Case

Achalasia
An 83-year-old woman presents with years of dysphagia to solids and liquids, regurgitation, and chest pain. Explore the diagnostic journey.
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The Ominous Sign of Silver Stool

Metastatic colon cancer
A 69-year-old woman presents with dizziness, jaundice, and the rare finding of silver stool. Explore the diagnostic journey for this unusual presentation.
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A Starry Sky in the Liver

Multiple biliary hamartomas
A 45-year-old woman has multiple liver lesions found on imaging. CT and MRI show a "starry sky" appearance. What is the diagnosis for these benign findings?
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A Dark Spot in the Duodenum

Pseudomelanosis duodeni
An 83-year-old man presents with food impaction. Endoscopy reveals a rare, benign condition in the duodenum. Learn about this incidental finding.
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A Colorful Clue in the Colon

Gastrointestinal amyloidosis
A 60-year-old woman with rheumatoid arthritis presents with diarrhea and nausea. Colonoscopy and biopsy reveal a surprising diagnosis. What could it be?
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A Twisted Gut in Peutz-Jeghers

Gastrogastric intussusception
A 26-year-old with Peutz-Jeghers syndrome presents with abdominal pain and vomiting. Explore this rare but serious cause of gastric outlet obstruction.
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A Sore Tongue and a Systemic Clue

Pyostomatitis vegetans
A 50-year-old woman with Crohn's disease presents with painful tongue and cheek lesions and eosinophilia. Explore the diagnosis of this rare oral condition.
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When Gas Invades the Liver

Emphysematous hepatitis
An 82-year-old man with diabetes presents with fever and confusion. LFTs are sky-high, and a CT scan reveals a shocking finding within the liver.
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