Case Presentation: 54 year-old female with past medical history of stage IV right renal cell carcinoma s/p nephrectomy and recurrent urinary tract infections secondary to left staghorn calculus was admitted for generalized weakness, fatigue, nausea, vomiting and altered mental status. Physical exam showed scleral icterus. Lab work was significant for elevated aminotransferases, bilirubin and alkaline [...]

Case Presentation: A 66-year-old woman presented as a hospital transfer for further evaluation of 1 week of abdominal pain and jaundice and several months of a worsening dry cough and dyspnea. These were respectively attributed to acute cholecystitis status post unsuccessful ERCP and pulmonary edema. She had no fever, orthopnea, or edema. Her past medical [...]

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 [...]