Case Presentation: Our patient is a 13 year old female with a 3-year history of celiac disease who presented to an outside facility with three days of fever, myalgias and RUQ pain. She had no stool changes, nausea or vomiting. Initial lab work was notable for a lipase of 1100, bilirubin of 4.9, AST of […]

Case Presentation: A 37 year old man with history of alcohol abuse presented to the emergency department for a one month history of jaundice, nausea, vomiting and weight loss. Physical exam was significant for mild diffuse abdominal tenderness and jaundice. Labs were remarkable for a total bilirubin of 34.1, direct 17.5, alkaline phosphatase of 203, […]