Case Presentation: A 63 year-old woman with a history of liver transplant presented to a rural hospital for evaluation of rigors, nausea and vomiting. Her post-transplant course had been complicated by HCV recurrence treated successfully with interferon and ribavirin; cirrhosis, and refractory gastric variceal bleeding for which she received a transjugular intrahepatic portosystemic shunt (TIPS) […]

Case Presentation: A 44-year-old Hispanic woman with no past medical history presented to the emergency department complaining of difficulty walking.  She reported a three-week history of progressive, sharp lower back pain followed by a one-week history of bilateral lower extremity weakness. She denied history of fever, night sweats, weight loss, hemoptysis or travel outside of […]