Case Presentation: The presence of abnormal liver function tests has a broad list of differential diagnoses and is commonly seen in patients with medication side-effects. Hepatotoxicity is associated with many checkpoint inhibitor immunotherapeutics and requires immediate initiation of steroids; however, it is important to consider alternate etiologies for transaminitis. We present a case of a [...]

Case Presentation: A 35-year-old healthy male veteran presented to the emergency room with painless jaundice. Three days prior to presentation, the patient noticed a yellowing of his eyes, but was otherwise asymptomatic. His history was notable for traumatic brain injury, PTSD, heterozygous gene mutation for hemochromatosis, and alcohol abuse with prior elevations in his aminotransferases [...]

Case Presentation: A 70-year-old female with a history of lobular carcinoma of the breast, status-post mastectomy followed by adjuvant radio-chemotherapy in remission for 4 years admitted with a complaint of right upper quadrant pain and jaundice. Examination was positive for icteric sclera and ascites. Her hemoglobin was 8.8 gm/dL; mean corpuscular volume of 90.5 fL; [...]

Case Presentation: A 37-year-old man with a history of alcoholic cirrhosis and treated hepatitis C virus (HCV) infection as well as IV opioid use presented to the hospital with elevated liver function tests on intake labs at a substance abuse facility. Several years prior to presentation, he completed hepatitis C infection treatment with ledipasvir/sofosbuvir with [...]

Case Presentation: An 18 year old male with no past medical history presented with one month history of nausea and vomiting, 10 pound weight loss, and abdominal pain. Vital signs were normal and physical exam only remarkable for mild tenderness to palpation in the right upper quadrant. Admission labs were notable for leukocytosis (WBC 14) [...]

Case Presentation: A 66-year-old woman presented as a hospital transfer for further evaluation of 1 week of abdominal pain and jaundice and several months of a worsening dry cough and dyspnea. These were respectively attributed to acute cholecystitis status post unsuccessful ERCP and pulmonary edema. She had no fever, orthopnea, or edema. Her past medical [...]