Case Presentation: A 49-year-old male with primary sclerosing cholangitis and newly diagnosed locally advanced cholangiocarcinoma was initiated on 5-Fluorouracil (FU) based chemotherapy (FOLFOX) as an outpatient (Figure 1). Within one day of receiving FOLFOX, the patient presented to the ED with acute, intermittent chest pain radiating to his left arm and shortness of breath. Vital […]

Case Presentation: A 47-year-old male with a history of untreated ulcerative colitis (UC) presented to the emergency department with a two-week history of jaundice, malaise, fatigue, right upper quadrant pain, and tan-colored stools. Vital signs were normal. Physical exam was remarkable for epigastric tenderness, sclera icterus and jaundice. Relevant laboratory findings revealed total bilirubin of […]

Case Presentation: A 35-year-old female dog groomer with a history of an ovarian cyst presented as a direct admission from the Gastroenterology clinic due to worsening upper abdominal pain and weight loss for 2 months. An abdominal CT obtained two weeks prior showed a large left liver lobe mass measuring 6.3 x 4.6 cm. On […]