Case Presentation: A 55-year old female with no reported past medical or surgical history presented for evaluation of sharp epigastric pain radiating into her lower abdomen. The pain began two days prior upon awakening with associated bloating. She also reported nausea worsened by food but denied vomiting. Her last bowel movement was one day prior [...]

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: An 11-year-old boy with a history of mesenteric adenitis and appendectomy presented for abdominal pain two days after bruising his left flank by running into a countertop. ROS was positive for a new rash on the soles of his feet, recently noticed bubbles in urine, headache, and nausea, but negative for facial rash, [...]