Case Presentation: A 40-year-old man with history of hyperlipidemia, type 2 diabetes mellitus, and alcohol-induced liver cirrhosis complicated by portal hypertension, ascites and esophageal varices presented with three weeks of epigastric abdominal pain, nausea, and vomiting. The Physical Exam was unremarkable. Lab results showed elevated Lipase 1854 U/L, Tbili 8.1 mg/dL, Dbili 5.5 mg/dL, ALT [...]

Case Presentation: A 70-year-old female with a medical history of fibromyalgia on Duloxetine, Systemic Lupus Erythematosus, and Paget’s disease admitted to the hospital for altered mentation was found to have elevated ALT 54 U/L, AST 63 U/L, normal bilirubin, and gamma glutamyl transferase. The mild elevation in Alkaline Phosphatase (ALP) 175 U/L was secondary to [...]

Case Presentation: A 58 year old lady with a history of hypertension and gastroesophageal reflux disease, presented to the emergency department with two weeks of jaundice. Vitals were hemodynamically stable, and she was alert and oriented to person, place, and time. Her physical exam was notable for scleral icterus and jaundice. Laboratory values revealed AST [...]

Case Presentation: We present a case of symptomatic meropenem induced cholestasis in a 57 year old male with insulin dependent diabetes complicated by polymicrobial foot ulcers that required multiple toe amputations. He presented with chief complaints of fatigue, decreased appetite, and weight loss. He was septic on arrival and was found to have wet gangrene [...]

Case Presentation: An 18-year-old female with no significant medical history presented to the hospital with diffuse abdominal pain and jaundice for 2 weeks, associated with nausea, non-bloody vomiting, and subjective fevers. The patient was treated for exudative tonsilitis 2 weeks earlier and had taken 6 grams of acetaminophen over 48 hours before presentation to the [...]