Case Presentation: A 47 year old white male with alcoholism and cirrhosis was admitted to the ICU after being found altered in his bedroom in a pool of blood draining from his nose. A rhino rocket was inserted into the patient’s right nostril to stop the bleed and labs and imaging were obtained. Labs revealed [...]

Case Presentation: A 49 year old female with history of alcoholic cirrhosis presented to the ED after experiencing self-reported bright red blood per rectum that morning. Patient had history of numerous prior admissions for reported GI bleed with extensive endoscopic work-up; evidence of portal hypertensive gastropathy had been seen previously however no actively-bleeding lesions were [...]

Case Presentation: A 57-year-old man with decompensated cryptogenic cirrhosis and chronic kidney disease who was listed for simultaneous liver and kidney transplantation presented with two days of anorexia and malaise. He reported associated nausea, vomiting, and progressive weakness. He denied fever, confusion, cough, abdominal pain, dysuria.Vital signs were normal. He was fatigued, jaundiced, and chronically [...]

Case Presentation: A 61-year-old man with decompensated non-alcoholic steatohepatitis cirrhosis and end-stage renal disease (ESRD) presented with sudden-onset hypotension. He described 3 days of fatigue, lethargy, and loss of appetite with a history of breeding chickens. He was afebrile, blood pressure was 70/40, and abdomen was distended without tenderness to palpation. Initial diagnostic paracentesis showed [...]

Case Presentation: 63-year-old female with past medical history of type II diabetes, Roux-en-Y bypass, alcoholic hepatitis, osteoarthritis of bilateral knees post-total left knee arthroplasty (2014), presented with acute left knee pain and new functional decline. She denied any trauma, fevers, or chills. Exam was notable for warmth over the joint, diffuse pain with palpation and [...]