Case Presentation: A 56-year-old female with a history of scleroderma, Sjogren’s syndrome, GERD, cirrhosis, HTN presented with abdominal pain for 3 days. She reported nausea without emesis, decreased oral intake, and no bowel movements or passing gas during this time. She denied fevers, night sweats, diarrhea, gastrointestinal bleeding, recent travel, swimming in lakes/rivers, ingesting unclean [...]

Case Presentation: A 36 year old male with history of schizophrenia, alcohol dependence and remote drug abuse presented to the emergency department with 3 weeks of dry cough without dyspnea, post-prandial nausea, intermittent lightheadedness, dark urine, jaundice and progressive fatigue. He had no recent travel or sick contacts, medications included chronic monthly injections of paliperidone [...]