Distal Ileal Ulcers as Gastrointestinal Manifestation of Waldenstrom Macroglobulinemia.

Waldenstrom macroglobulinemia (WM) is a neoplastic disorder of the B-cell lymphoid system. A 69-year-old man with WM presented with diarrhea for 6 months. Magnetic resonance enterography showed thickening of the terminal ileum (TI).

Adherence to Two Large-Bore Intravenous Lines in Acute Gastrointestinal Bleeding Is Low.

Background: While the available literature recommends placement of two large-bore intravenous (2LBIV) lines in every patient presenting with acute GIB, the adherence and impact of this recommendation have never before been reported.

Aims: We designed a quality improvement project to assess whether the patients presenting to our institution with acute GIB have appropriate intravenous (IV) access or not.

Methods: We conducted a prospective, observational study, of all patients presenting to our emergency department with overt GIB over a 2-month period.

extraintestinal abscess: a rare complication.

Extraintestinal is rare. A 74-year-old man with a history of ulcerative colitis presented after a fall. Trauma work-up showed liver cirrhosis.

A Case of Early Disseminated Neurological Lyme Disease Followed by Atypical Cutaneous Manifestations.

Lyme disease (LD) is a tick-borne illness caused by . An 80-year-old female from Pennsylvania, USA, presented to an outside hospital with fever, confusion, lower extremity weakness, and stool incontinence. CT head and MRI spine were unremarkable.