Case Presentation: Budd Chiari is a rare disorder caused by hepatic venous outflow obstruction with resulting hepatic dysfunction. It affects 1.4 per million people a year, and presentation depends upon the extent and rapidity of hepatic vein occlusion. This case is noteworthy given it presents the rapid progression of liver dysfunction in the setting of newly [...]

Case Presentation: A 63-year-old man with a history intravenous heroin use disorder and chronic homelessness was readmitted for worsening right lower extremity pain secondary to recently diagnosed unprovoked bilateral deep vein thrombosis (DVT). He reported substernal chest pain without radiation and dyspnea but denied fevers, chills, weight loss or recent heroin use. His temperature was [...]

Case Presentation: A 58-year-old woman arrived to the emergency room complaining of fevers, chills, and confusion for two weeks. She has hypertension, complex psychiatric conditions including anxiety, depression, and alcohol use disorder. Her symptoms began 14 days ago with non-productive cough and headaches. During this time she also experienced fevers and chills. On physical examination, [...]