Background: Hospital readmissions are a significant healthcare concern, particularly for patients harboring liver cirrhosis. Optimizing discharge planning and transitional care management for this population requires a detailed understanding of the factors associated with readmission risk, stratified by disease severity. Elixhauser Comorbidity Index v2024.1 guided identification of patients with standardize mild versus moderate-severe cirrhosis plus respective [...]

Background: Routine transfusion of platelets and Fresh Frozen Plasma (FFP) prior to paracentesis is among the “things we do for no reason”, as recommended against by the American Association of Liver Disease and American Gastroenterology Association in patients with platelets over 20,000. We hypothesize that a Medicine Procedure Service (MPS), which has adopted this recommendation [...]

Case Presentation: A 23-year-old man with alcohol use disorder presents with abdominal swelling, lower extremity edema, jaundice, and early satiety. Physical examination revealed icteric sclera, conjunctival pallor, distended abdomen with notable ascites, and lower extremity edema. Initial labs showed macrocytic anemia at 7.5 g/dl with mean cell volume of 127.2 fL, white blood cell count [...]

Case Presentation: A 42-year-old woman with a history of common variable immunodeficiency, asthma, cirrhosis presumed secondary to non-alcoholic fatty liver disease, subdural hematoma, epilepsy, and inflammatory polyarthritis presented to the ED with altered mental status (AMS). She was in her usual state of health, living independently until one month prior when she developed intermittent hallucinations, [...]

Case Presentation: Mr. D is a 60-year-old male building superintendent with a history of asthma and moderate alcohol use disorder who presented with six days of fatigue. Later, he developed headache, substernal pleuritic chest pain, epigastric and RUQ abdominal pain, nausea, vomiting, and weight loss of around 20 pounds in a week. The patient reported [...]

Case Presentation: A 39-year-old male with a history of seizure disorder, depression, and alcohol use disorder presented to the emergency room with new-onset jaundice and a two-week history of fatigue, decreased appetite, and dark orange urine. Social history notable for intermittent and progressive alcohol use starting at the age of 18, with most recent liquor [...]

Case Presentation: A 74-year-old female with MASH cirrhosis presented to a local hospital with blood-tinged drainage from her umbilical hernia. Patient endorsed frequent large volume paracenteses (LVP) with 10-15 liters removal every 2 weeks for recurrent ascites refractory to diuretic therapy. The frequency increased to weekly LVP with 6-7 liters per session. CTAP showed liver [...]

Case Presentation: A 24-year-old male with a history of pancytopenia presented to the emergency department with generalized abdominal pain. One year prior, he started having intermittent mild abdominal pain which was attributed to irritable bowel disease. Three months prior, he developed a pruritic red rash on his arms and legs and intermittent bleeding from his [...]