Case Presentation: An 82 year old male with unknown PMH presented with worsening dry cough and dyspnea. 1 week course of antibiotics provided minimal relief. Patient was febrile/tachycardic on arrival with rhonchi appreciated on bilateral lower lung field auscultation. His oxygen saturation was found to be dipping below 90% on room air for which he [...]

Background: Medical providers are often hesitant to perform bedside procedures in patients with an INR >2 or in patients who have received chemoprophylaxis or therapeutic anticoagulation, despite previously conducted studies suggesting cirrhotic patients with elevated INRs are not at higher risk for complications from a paracentesis or thoracentesis (1)(2). The Hospital Medicine Advanced Practice Provider [...]