Altered Mental Status in a 23-Year-Old Woman Kelsey Sklar, MD, MPH March 27, 2026 + + + +

Altered Mental Status in a 23-Year-Old Woman Kelsey Sklar, MD, MPH A 23-year-old woman without significant past medical history is brought to the emergency department by her sister and brother-in-law after 1 day of exhibiting bizarre behavior. She had smoked cannabis for the first time the day before for her birthday. Since then, she has been experiencing audiovisual hallucinations, incoherent speech, and insomnia. https://reference.medscape.com/viewarticle/altered-mental-status-23-year-old-woman-2026a10007i8?ecd=WNL_casechlg_260412_MSCPREF_etid8255753&uac=148436CN&impID=8255753 March 27, 2026 A 21-Year-Old Student With Stomach Pain, Distress, and Declining Academic Performance Heidi Moawad, MD A 21-year-old woman, a premed student with a formerly strong academic record, presents with a 3-month history of stomach aches and intermittent loss of appetite. She says she frequently experiences a sense of emptiness, heaviness, or discomfort of her entire abdominal area, with no localization. Each episode lasts for hours and is not accompanied by sharp pain, fever, diarrhea, constipation, or vomiting. During these episodes, she does not want to eat. https://reference.medscape.com/viewarticle/21-year-old-student-stomach-pain-distress-and-declining-2026a10006kn?ecd=WNL_casechlg_260412_MSCPREF_etid8255753&uac=148436CN&impID=8255753 March 13, 2026 A 62-Year-Old Malnourished Man With Hypotension and Delirium After Hernia Repair Ismail Ghafary, MD; John W. Birk, MD A 62-year-old man with decompensated alcoholic cirrhosis presented with an incarcerated umbilical hernia. His history included hepatic encephalopathy, refractory ascites, hepatic hydrothorax, chronic kidney disease, and severe protein-calorie malnutrition, with a BMI of 14.9. He underwent emergent laparotomy with hernia repair and drain placement. https://reference.medscape.com/viewarticle/62-year-old-malnourished-man-hypotension-and-delirium-after-2026a10005gs?ecd=WNL_casechlg_260412_MSCPREF_etid8255753&uac=148436CN&impID=8255753 March 05, 2026 Coffee Drinker With Severe Abdominal Pain and Mild Pruritus Sarah El-Nakeep, MD A 28-year-old woman presents with a 1-week history of severe upper right abdominal pain. The pain is characterized by a feeling of heaviness and radiates to the epigastrium; it increases with coughing or deep breathing but is not associated with meals. Although analgesics partially relieve the pain, it has progressively increased for the past 4 days. https://reference.medscape.com/viewarticle/coffee-drinker-severe-abdominal-pain-and-mild-pruritus-2026a1000573?ecd=WNL_casechlg_260412_MSCPREF_etid8255753&uac=148436CN&impID=8255753 February 27, 2026