Case Presentation: A 64-year-old obese male with history of atrial fibrillation, congestive heart failure (CHF) and alcohol use presented with subacute worsening of lower extremity edema, fatigue, and exercise tolerance. Five months prior to presentation, he was admitted to an outside hospital with newly diagnosed atrial fibrillation and CHF. At that time an echocardiogram showed [...]

Case Presentation: A 75-year-old male with atrial fibrillation on apixaban and eradicated HCV presented to the Emergency Department one day after a syncopal episode with right upper quadrant abdominal pain. On initial presentation, he was hemodynamically unstable with hypotension and atrial fibrillation with rapid ventricular response. His vital signs normalized after 2 liters of intravenous [...]

Case Presentation: 65 year old man with HTN, active tobacco and alcohol use presents with right (R) hip and knee pain for 4 months, worsening over the past 2 weeks. 3 months ago, he presented to an orthopedic clinic for progressive R hip pain without any history of trauma or injury. An MRI showed a [...]

Case Presentation: Most complications of Hepatitis C virus (HCV) infection, such as progressive fibrosis and cirrhosis, hepatic decompensation, and hepatocellular carcinoma (HCC), are related to chronic infection. Upon adequate treatment of HCV with sustained virologic response (SVR), patients without prior bridging fibrosis or cirrhosis are at a lower risk of developing complications. This is a [...]

Case Presentation: A 71-year-old-male with history of HTN, tobacco abuse, and Hepatitis C cirrhosis complicated by hepatocellular carcinoma (HCC), was admitted following transarterial chemoembolization (TACE) for HCC. TACE of a 3.2cm left hepatic lobe mass was performed. Access was obtained via the right common femoral artery. No immediate complications were noted, and the patient was [...]

Case Presentation: A 52-year-old male presented for an evaluation of hematuria. The complete blood count, basic metabolic panel and liver function tests were within normal limits. A CT abdomen and pelvis showed an incidental, 1.5 cm lesion in the right hepatic lobe. Following fine needle aspiration biopsy of the lesion, the tissue demonstrated a slightly [...]

Case Presentation: The patient is a 58-year-old hispanic man with a past medical history of decompensated hepatitis C virus, alcoholic cirrhosis, hepatocellular carcinoma (HCC), and asthma who presented for definitive management of his known hepatic mass. Based on prior work up and imaging, this mass was presumed to be HCC. He presented to the hospital [...]