Case Presentation: A 40-year-old man with history of hyperlipidemia, type 2 diabetes mellitus, and alcohol-induced liver cirrhosis complicated by portal hypertension, ascites and esophageal varices presented with three weeks of epigastric abdominal pain, nausea, and vomiting. The Physical Exam was unremarkable. Lab results showed elevated Lipase 1854 U/L, Tbili 8.1 mg/dL, Dbili 5.5 mg/dL, ALT [...]

Case Presentation: A 54-year-old man with history of type II diabetes mellitus and hyperlipidemia presented to the Emergency Department with 6 weeks of generalized weakness. On arrival, he was mildly tachycardic but otherwise stable. Physical examination was most notable for diffuse proximal muscle weakness in the bilateral upper and lower extremities. Pertinent laboratory studies showed [...]

Case Presentation: A 55-year-old woman with a history of hyperlipidemia and hypothyroidism presented with a one month of proximal muscle weakness in her arms and legs, and ten-pound unintentional weight loss. Eight months earlier, routine labs showed mild elevations in ALT and AST levels to ~90. Her atorvastatin was discontinued; however, her liver enzymes continued [...]