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Welcome back clinical problem solvers.

My name is Simone.

I am a second year family medicine resident at UCSF in San Francisco General.

And I am so excited for today's case.

We have Prateek here to introduce our case.

And we have Fred, who is going to be our discussant.

And I'm going to hand it over to them to introduce themselves. Prateek. Hey, everyone. Really excited to be here. My name is Prateek. I'm a first-year internal medicine resident at USC in California. Went to Duke from med school and have a really exciting case for you all. Hey, everyone. My name is Fred McLaughertie. I'm a second year pulmonary and critical care fellow at UCSF.

Prior to that, I did my internal medicine residency at Northwestern, where I did my

residency and my chief residency there.

This is my first time being in discussance, so excited to be here and, take it easy on me. I'll try my best.

Fred was my ICU fellow, so I know that he's going to do a phenomenal job teaching us.

Fertique, why don't you start us off? So we have a 26-year-old healthy male presenting in the fall

with a one-week history of fever,

shortness of breath, non-productive cough, and abdominal pain. He describes the symptoms

as progressive generalized body aches and flu-like. On his presentation to the ED, the patient

is tachycardic, he's dysphc. And he's complaining of also right upper quadrant abdominal

pain that started at the same time as his other symptoms. His pain wasn't exacerbated by food intake,

and he describes it as a dull pain that was non-radiating and relatively constant. He tried

taking some Tylenol at home. It didn't help his symptoms. But given his symptoms, he also decided to take a COVID test. At this time, Delta was really, really prevalent, which was also negative. He further denies chills, headaches, vision changes, weight changes, constipation, diarrhea, nausea, or vomiting. He has no chronic diseases or any medications he takes at home.

He's not currently sexually active and is up to date on his vaccines. His past medical

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