Case Presentation: A 29-year-old otherwise healthy man presented to the emergency room with five weeks of progressively worsening pruritus and fatigue. The patient denied recent ingestion of herbal supplements, and reported lifetime abstinence from alcohol use. Physical exam revealed jaundice and scleral icterus. No ascites or hepatomegaly were noted on initial exam. Admission labs revealed [...]

Case Presentation: A 69-year-old male with history of metastatic prostate cancer on chemotherapy presented with fever for three days. On presentation, he was tachycardic with a heart rate of 130 beats per minute. Physical examination was significant for right upper quadrant tenderness. Initial laboratory workup revealed leukocytosis with a white blood cell count of 17000 [...]

Case Presentation: A 44-year-old African American male with medical history of hypertension presented to the emergency room for two and a half weeks of nausea without vomiting. He endorsed fatigue, weakness, anorexia, weight loss, jaundice, itching and constipation. He denied fever, night sweats, pale stools, hematochezia or abdominal pain. He reported dark urine with dysuria. [...]

Case Presentation: An 18 year old male presented with ten days of fever, sinus congestion, cough, right sided headache, myalgia and diarrhea. He had no significant past medical history but recently travelled to Bahia, Brazil and engaged in ocean swimming and sushi consumption. He had tested positive for Influenza A at his primary care office [...]

Case Presentation: A 37 year-old man with a history of alcohol abuse presented to the emergency department with a chief complaint of abdominal pain and jaundice. The patient stated that 3 days prior to presentation, he awoke with severe intermittent right upper quadrant abdominal pain associated with a yellow discoloration of his skin and sclera. [...]

Case Presentation: A 46-year-old man presented with 1 week of fevers, chills, fatigue, myalgias, cough, hemoptysis, nausea, vomiting, diarrhea, and confusion. One month prior to presentation the patient started a new job performing sanitation and sewage work in basements. On presentation, he was afebrile, with pulse 98 and blood pressure 98/71. Exam was notable for [...]

Case Presentation: 80 y.o. female with a history significant for hypertension and hyperlipidemia who presented to the Emergency Department for abnormal blood work. Patient had been in her usual state of health but had noticed a dark color to her urine and a yellow tinge to her eyes.On review of her blood work she was [...]

Case Presentation: A 34 year-old female with a history of anxiety and depression initially presented to an outside hospital and then was transferred to our facility for jaundice. She had given birth 2 months prior to presentation to a healthy child; however, the pregnancy was complicated by severe preeclampsia. On exam, she had a high-normal [...]

Case Presentation: A 71-year-old woman presented to the hospital after her granddaughter noticed two days of worsening jaundice. The patient reported a one-week history of fatigue, early satiety, poor appetite, nausea, and vomiting. She also noted having tea-colored urine and a 30-pound unintentional weight loss during the previous eight months. She denied history of trauma, [...]

Case Presentation: A 31-year-old man presented to the ED with one week of worsening cough, headaches, and abdominal pain. Initial laboratory evaluation revealed a total bilirubin level of 15.6 mg/dL, ALP 181 U/L, ALT 518 U/L, AST 829 U/L. Lipase and GGT were within normal range. Chest x-ray and abdominal ultrasound showed no abnormalities. He [...]