The RDW on admission is of marginal help to diagnose AMI among patients with abdominal pain.

Ranunculus arvensis, a plant that is a member of Ranunculaceae family, generally used for local treatment of joint pain, muscle pain, burns, lacerations, edema, abscess drainage, hemorrhoids, and warts among the population. In this case report, we presented three patients who developed chemical skin burns after using R arvensis plant locally for knee pain. The destructive effect of the plant has been reported previously to be more in fresh plants and less in dried plants. Although protoanemonin, which is considered as the main toxic substance, was reported to be absent in dried or boiled plants, the plant was boiled, cooled, and wrapped over the region with pain in our cases. Therefore, we thought that protoanemonin may be considered to be heat resistant. Also, the burn management proceeded up to surgery by using the flap technique in one of our patients in contrast to the cases found in published reports who were treated by antibiotics and dressings.

A 77-year-old female patient presented to EU with abdominal pain, nausea, vomiting, constipation, and abdominal distention. The patient's vital signs were in the normal range. Based on her physical examination, there was abdominal distention and general abdominal tenderness in all quadrants, especially on the right upper side, with palpation. Other system examinations were normal. She underwent a hysterectomy operation 1 year ago. Patient's routine blood tests and kidney and liver function tests were in the normal range. Intestinal-type air-fluid level (Figure 1) was seen on direct abdominal radiography. Abdominal CT showed a gall stone, with free air around the stone, and PCI was obvious on the intestinal wall (Figure 2a, b). The patient underwent general surgery consultation. Surgeons suggested operation, but she rejected the suggestion. Thus, she underwent supportive therapy. The patient's clinical condition degraded and she was discharged on the third day of hospitalization in the surgery service.

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