Case Presentation: A 58 year old male with a past medical history of hypertension, hyperlipidemia, diabetes mellitus type 2, and stage 4 chronic kidney disease presented to the ED for 3 weeks of weakness, dyspnea, and bilateral lower extremity edema. Exam and workup was notable for anasarca, albumin of 1.8 g/dL, and CT with ascites […]