Case Presentation: An 86-year-old woman with a history of hypertension on oral medications and chronic systolic heart failure presented to the hospital with chest pain and dyspnea. She was noted to be acutely hypertensive, tachypneic and hypoxemic. Physical exam revealed diffuse crackles, jugular venous distention and lower extremity pitting edema. EKG was consistent with an […]

Case Presentation: An 83-year-old male with past medical history of hypertension managed chronically with hydralazine presented to the hospital complaining of acute onset of dyspnea, fever, and cough. He was treated for community acquired pneumonia with incomplete resolution of his symptoms. One month later he returned with fatigue and hemoptysis. Work up was significant for […]