Background: Successful hospitalist co-management programs address provider knowledge base as well as ongoing faculty skill development and education (1). With a growing liver transplant program, our institution has seen increased patient volume on the hospitalist liver service. Hospitalists and hepatologists co-manage this expanding population of high acuity patients with complex pathologies. In the past year, [...]

Case Presentation: A 95 year old woman with a remote history of treated breast cancer and endometrial cancer presented to the hospital with severe abdominal pain and somnolence. One month prior, the patient was living independently in her usual state of health. She developed dysuria and malaise and visited an outside hospital. Routine laboratory testing [...]

Case Presentation: A 50-year-old woman presented with two weeks of progressively worsening abdominal pain and distention. The abdominal pain was accompanied by yellowing of her eyes and periods of confusion. She reported consuming 4 shots of vodka daily for greater than 10 years. Vital signs were normal. The patient was grossly jaundiced and exhibited scleral [...]

Case Presentation: A 60-year-old African woman presented to the emergency department with three days of abdominal pain, nausea, and vomiting. She had recently returned from a ten-month trip through rural Ethiopia where she consumed unpasteurized milk and well water with exposure to goats, cats, and livestock. Her medical history was otherwise unremarkable. On exam, she [...]

Case Presentation: A 46-year-old woman with no past medical history presented with right upper quadrant pain, jaundice, and pruritus after undergoing a liver biopsy at an outside hospital. At the outside hospital, she had these same symptoms with hyperbilirubinemia and transaminitis. HIDA scan was negative. The liver biopsy showed marked portal and pan-lobular inflammatory infiltration [...]