Leg Swelling and Mildly Deranged Liver Tests: An Unusual Presentation of a Usual Diagnosis

Question: A 72-year-old woman presented to the hospital with progressively worsening left lower extremity swelling and pain of 1 weeks’ duration. She also reported vague right upper abdominal discomfort, but did not complain of nausea, vomiting, shortness of breath, chest pain, fever, or jaundice. Her past history was significant for hypertension and Meniere disease. She had had no prior surgeries and was a lifetime nonsmoker. Her current medications were hydrochlorothiazide-triamtrene, aspirin, calcium-vitamin D, and a multivitamin.

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