Case Presentation: A 44-year-old African American male with medical history of hypertension presented to the emergency room for two and a half weeks of nausea without vomiting. He endorsed fatigue, weakness, anorexia, weight loss, jaundice, itching and constipation. He denied fever, night sweats, pale stools, hematochezia or abdominal pain. He reported dark urine with dysuria. [...]

Case Presentation: An 87-year-old female with a history significant for hyperlipidemia on high-intensity atorvastatin for 6 months, multinodular goiter, Raynaud’s disease, spinal stenosis with peripheral neuropathy presents with 3 days of decreased appetite and bilateral lower extremity pain. Her COVID RT-PCR screen was positive, but the patient denied cough, shortness of breath, fever, or diarrhea. [...]

Case Presentation: A 40 year old previously healthy female was incidentally found to have elevated transaminases on routine lab work. She was sent to our hospital for further evaluation. On admission, she complained of fatigue, right sided abdominal discomfort, and jaundice of a few weeks. She denied taking prescription medications but reported taking a supplement [...]

Case Presentation: A 13-year-old previously healthy boy presented to the emergency department with 1 day of jaundice and scleral icterus as well as acute on chronic progressive abdominal pain. Review of systems was notable for unintentional 5 kg weight loss over the past year, fatigue, oral ulcers, Raynaud’s phenomenon, and gross hematuria. He had no [...]

Case Presentation: A 70-year-old woman was admitted to our medical center with a 2-month history of abdominal discomfort, anorexia and fatigue. Past medical history was notable for hyperlipidemia. Five weeks prior to admission, the patient presented to her primary provider with similar complaints and was found to have significantly elevated liver enzymes, as shown in [...]

Case Presentation: A 23-year-old woman presented with complaints of jaundice, nausea, and epigastric pain for ten days. She had a history of epithelioid hemangiodendothelioma (EHE) of the lungs, diagnosed six months prior to presentation. She had been treated with interferon alpha-2b (a type 1 interferon) for four months, but this was stopped two weeks prior [...]

Case Presentation: A 75-year-old Caucasian female with a history of hyperlipidemia treated with statin presented to the emergency room for generalized weakness. She became completely bedbound over the course of 5 days. Examination showed symmetric muscle weakness with power 2/5 at proximal muscles but normal strength in distal muscles. Deep tendon reflexes were decreased. She [...]

Case Presentation: An 84 year old female with a past medical history of stroke, hypertension, hyperlipidemia, hypothyroidism, cataracts, glaucoma and recent diagnosis of autoimmune hepatitis presented with shortness of breath and abdominal pain. Three months prior to admission, the patient had been admitted and found to have acute liver failure secondary to autoimmune hepatitis and [...]

Case Presentation: A 64-year-old man with diet-controlled type 2 diabetes mellitus and hyperlipidemia presented to an academic center with painless jaundice. He was in his usual state of health until 2 weeks prior to presentation when he noticed dark urine. He then developed jaundice 4 days before his presentation. Initial laboratory testing was notable for [...]

Case Presentation: A 77-year-old female was admitted with a 3-week history of pruritus and a 1-week history of jaundice and fatigue. Patient had not used any new medications, except for recently prescribed ACE inhibitors. There was no history of alcohol abuse or liver disease and no recent sick contacts. Other medical conditions are type 2 [...]