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 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 59-year-old female with recently diagnosed perihilar lung mass and liver lesions presented for evaluation of painless jaundice and transaminitis. Initial laboratory studies revealed a sodium of 129 mOsm/kg, elevated bilirubin, alkaline phosphatase, lipase, and liver enzymes. Initial hyponatremia workup showed a serum osmolality of 279 mOsm/kg, urine osmolality of 118 mOsm/kg, and [...]

Case Presentation: An 84-year-old male with a PMH of CAD, atrial fibrillation and BPH presented to the ED due to night time vision loss and jaundice. Patient stated one month prior to presentation he noticed difficulty with vision at night while driving. One week prior to presentation, patient’s family noticed new-onset jaundice. Upon presentation, patient [...]