Case Presentation: A 39 year-old female with a history of hypertriglyceridemia (HTG), IDDM2, and obesity presented to an outside hospital with severe epigastric abdominal pain and was diagnosed with recurrent hypertriglyceridemia-induced pancreatitis (HTGP). Intravenous insulin was started and she was transferred to our hospital for management. On arrival, she was tachycardic and tachypneic with a [...]

Case Presentation: A 31-year-old-female presented to the hospital with a one-day history of severe left lower quadrant abdominal pain that was gradual in onset, associated with nausea and emesis. She also reported epigastric and left flank pain. She experienced a similar episode two months prior, which lasted several days. She denied hematuria, vaginal discharge, or [...]

Case Presentation: Our case involves a 45-year-old male with a history of alcohol abuse, who presented with acute epigastric pain and bilious emesis. On exam, he had severe epigastric tenderness with guarding and normoactive bowel sounds. When obtaining labs, his blood was grossly turbid. Labs were significant for elevated lipase (1,534 IU/L), normal TSH (1.23 [...]

Case Presentation: A 49-year-old male with past medical history of alcohol use disorder, hypertension, and necrotizing pancreatitis presented with severe epigastric pain for one day. The pain was sharp, non-radiating, worsened by eating, and associated with nausea and diarrhea. He drinks a fifth of hard liquor daily. Pertinent labs showed bicarbonate 8 with an anion [...]