THE PITT // CASEBOOK
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Gastroenterology Cases From THE PITT

4 cases 3 episodes · S01E01 – S02E13

All emergency department cases involving Gastroenterology from The Pitt, documented with medically accurate clinical timelines, diagnostic workups, and expert clinical pearls.

Patient with visible scleral icterus and jaundiced skin.
S02E13 Moderate
48 · Female

Mrs. Davis

Nausea and yellowing of the skin (jaundice).

A 48-year-old previously healthy female presents to the ED with nausea and noticeable yellowing of her skin. The patient initially attributed the skin changes to a 100% natural sugar-beet bronzer (DHA). Triage labs revealed significantly elevated liver enzymes indicating acute hepatic inflammation. She is a strict vegan, exercises regularly, and denies all alcohol, acetaminophen, prescription medication, and illicit drug use. She denies eating raw shellfish.

ToxicologyHepatology +1 more
Young man presenting with RLQ abdominal pain.
S01E06 Brief
Young Adult · Male

Unknown

Abdominal pain (suspected appendicitis)

Young male patient presenting to the ED with acute appendicitis described as 'hot appendicitis'. Case utilized for bedside teaching of medical students regarding physical exam signs and evidence-based non-operative management.

General SurgeryGastroenterology +1 more
Mr. Milton in the ED Exam Room
S01E01 Complex
68 · Male

Bennet Milton

Upper abdominal pain

Patient awoke at 2:00 AM with intense upper abdominal pain that lasted approximately one hour and subsequently resolved. He reports eating a heavy, fatty meal (steak at Sullivan's) for his wife's birthday the night prior. He denies fever or vomiting. He has a history of hypertension but forgot to take his morning enalapril.

GastroenterologyPOCUS +5 more
Patient awaiting surgical consult for SBO.
S01E01 Moderate
40 · Male

Unknown

Abdominal pain, lack of bowel movements (Small Bowel Obstruction)

Patient presented overnight with symptoms suggestive of a small bowel obstruction (SBO). He has been boarding in the emergency department for over three hours waiting for a surgical consult. Initial conservative management with magnesium citrate to stimulate bowel activity failed.

GastroenterologyGeneral Surgery