Rhabdomyolysis is a clinical syndrome characterized by necrosis of skeletal/striated muscle tissue and the release of intracellular elements into circulation, dominated by markedly elevated creatine kinase (CK) levels, myoglobinuria, and muscle weakness. Among the drugs that cause rhabdomyolysis, statins are most well-known, but many other drugs and their interactions can also trigger it. Polypharmacy nowadays represents a significant clinical challenge, especially in elderly patients and those ...

Renal cell carcinoma (RCC) has a relatively high rate of metastasis which carries a grave prognosis, yet the location and presentation of metastatic disease can be quite unpredictable. We present a case of metastatic clear cell RCC presenting with nonspecific gastrointestinal symptoms before imaging revealed hepatoduodenal fistulization and multiple masses concerning for abscess vs metastases. Subsequent biopsy revealed an uncommon tumor marker profile. The ultimate diagnosis depended on piecing...