February 22nd 2011
A 31-year-old male, recently on active duty in the military, presents to the ER with approximately one- week history of abdominal bloating, early satiety, and back pain. The patient has recently returned from overseas duty in Iraq, but otherwise has had no other significant travel history. On specific questioning, the patient reports he has “probably been exposed to toxic chemicals.” The patient is otherwise in healthy condition, and denies recent surgery, or illness, and takes no medication. He admits to social alcohol use only, and denies IV drug abuse.