Case Presentation: A 73-year-old man with a past medical history of pancreatic adenosquamous carcinoma, biventricular heart failure with reduced ejection fraction (30-35%), and paroxysmal atrial fibrillation presented to the hospital with a 2-day history of bilateral lower extremity edema and 5-pound weight gain. Physical exam was notable for tachycardia, jugular venous distension, scleral icterus, and [...]

Case Presentation: Introduction: Renal cell carcinoma (RCC) is classically associated with the triad of abdominal pain, hematuria, and a palpable mass, but its variability in clinical presentation has earned it the label of “internist’s tumor” (1,2). Liver dysfunction has been observed as a result of metastatic disease and a non-metastatic paraneoplastic syndrome called Stauffer’s syndrome [...]

Case Presentation: A 44-year-old African American female with a medical history of chronic heart failure with preserved ejection fraction (HFpEF) presented with a six month history of multiple hospitalizations for acute decompensated HFpEF and right upper quadrant pain. One month ago, she presented with an acute elevation of alkaline phosphatase (ALP) to greater than four [...]