Case Presentation: A 30 year old woman with a history of alcoholic cirrhosis, episodes of alcoholic hepatitis and pancreatitis, was transferred to a tertiary care hospital from a community hospital for a liver transplant evaluation. On admission, she had a MELD score of 33. The patient was not a candidate for liver transplant due to [...]

Case Presentation: A 43-year-old female with a history of NASH cirrhosis and insulin dependent diabetes was sent from the Hepatology clinic for elevated Creatinine from 1.8 to 4.8 mg/dL. Her vital signs were stable and she was admitted for the management of suspected hepatorenal syndrome. Her hospital course was complicated by 5 weeks of ICU [...]

Case Presentation: Case 1: 30 year old woman with uncontrolled T1DM, CKD, recurrent VTE, HTN, recurrent C.Diff, developed leg pain, fever and leukocytosis. Imaging, extensive rheumatology work up and biopsy revealed diabetic myonecrosis, also noted MDRO UTI and C diff colitis treated with ertapenem, ceftriaxone and oral vancomycin. Persistent high grade fever and leukocytosis called [...]