Case Presentation: A 73-year-old man with a past medical history of pancreatic adenosquamous carcinoma, biventricular heart failure with reduced ejection fraction (30-35%), and paroxysmal atrial fibrillation presented to the hospital with a 2-day history of bilateral lower extremity edema and 5-pound weight gain. Physical exam was notable for tachycardia, jugular venous distension, scleral icterus, and [...]

Case Presentation: 59 years old Hispanic male with history of alcoholic cirrhosis, esophageal varices that presented with 1 day history of abdominal pain and worsening renal function. Patient gets therapeutic paracentesis every 2 weeks, and the last one was one day prior his presentation. He was seen by his PCP who instructed him to present [...]

Case Presentation: A 79-year-old woman with hypertension and hyperlipidemia arrived to the ER after a syncopal episode. She was found in intermittent polymorphic ventricular tachycardia (VT). She was treated medically, briefly regaining sinus rhythm with possible ischemic changes (Figure 1). She was transferred to a cardiac catheterization capable facility. The study showed proximal left anterior [...]

Case Presentation: Diclofenac is a routinely prescribed non-steroidal anti-inflammatory agent in hospital with well-recognized hepatotoxic potential. However, there are only two reported cases of topical diclofenac-induced liver injury in literature. Herein, we describe a case of a 94-year-old man with Paget’s disease and osteoarthritis, who developed acute hepatotoxicity after four months of application of topical [...]

Case Presentation: Ectopic Liver is generally observed intra-abdominally, its extension supra-diaphragmatically is a rare occurrence. There are only 23 such reported cases in literature with the majority being reported in younger age groups as an extension of the caudate lobe of the liver through a diaphragmatic hernia(1,2). However, the presentation of an ectopic liver as [...]

Case Presentation: A 60-year-old male with a history of right hepatic resection for donation in 2011 presented to theEmergency Department for acute onset of chills, malaise, and fever up to 101.3 at home withassociated vomiting, abdominal pain, and abdominal distention. He was found to have fluidrefractory hypotension, elevated lactate, and a stage II AKI with [...]

Case Presentation: A 37-year-old man with a history of alcoholic cirrhosis and treated hepatitis C virus (HCV) infection as well as IV opioid use presented to the hospital with elevated liver function tests on intake labs at a substance abuse facility. Several years prior to presentation, he completed hepatitis C infection treatment with ledipasvir/sofosbuvir with [...]

Case Presentation: We present a case of a 44-year-old male with a history of FN liver abscess, diagnosed two years ago (treated with four weeks of ertapenem to complete resolution), who was brought to the emergency department with confusion, expressive aphasia, fever, and ataxia for three weeks. The patient was vitally stable. Lab workup showed [...]

Case Presentation: 54 year-old female with past medical history of stage IV right renal cell carcinoma s/p nephrectomy and recurrent urinary tract infections secondary to left staghorn calculus was admitted for generalized weakness, fatigue, nausea, vomiting and altered mental status. Physical exam showed scleral icterus. Lab work was significant for elevated aminotransferases, bilirubin and alkaline [...]

Case Presentation: A 79-year-old man with a past medical history of hypertension and hyperlipemia presented with abdominal pain and fever for two weeks. On physical examination, the temperature was 37.4 C (99.3F), heart rate was 78 beats per minute, respiratory rate was 16 per minute, and blood pressure was 176/81. There was tenderness in the [...]