Case Presentation: A 29-year-old otherwise healthy man presented to the emergency room with five weeks of progressively worsening pruritus and fatigue. The patient denied recent ingestion of herbal supplements, and reported lifetime abstinence from alcohol use. Physical exam revealed jaundice and scleral icterus. No ascites or hepatomegaly were noted on initial exam. Admission labs revealed [...]

Case Presentation: 59 years old Hispanic male with history of alcoholic cirrhosis, esophageal varices that presented with 1 day history of abdominal pain and worsening renal function. Patient gets therapeutic paracentesis every 2 weeks, and the last one was one day prior his presentation. He was seen by his PCP who instructed him to present [...]