Case Presentation: A 46-year-old female with obesity and type 2 diabetes mellitus presented with chief complaint of diarrhea for several days. Her diarrhea was watery, non-bloody, greenish in color, and occurred hourly. She had associated nausea, vomiting, and right upper quadrant (RUQ) abdominal pain. She denied recent travel, consumption of unusual foods, and knowing anyone [...]

Case Presentation: An 83 year-old female with history of hypertension presented to the emergency department with altered mental status for the past 2 days. Family reported patient to have a low impact fall, 2 weeks prior. In route, patient was noted to be febrile at 101.7˚F. Upon arrival, vitals were stable. Patient was found to [...]

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: A 51-year-old man with history of alcoholic cirrhosis presented with diarrhea, abdominal pain, fatigue and confusion for one week. Vitals were within normal limits, though the patient reported subjective fevers at home. Physical exam was notable for asterixis and ascites, and a paracentesis was performed. Cell count and culture of his ascitic fluid [...]