Case Presentation: A 65-year-old man with a history of nasal polyps was admitted to the hospital with a lactate of 10 mmol/L (0.5-2.2 mmol/L). He reported drenching night sweats and a 10-pound weight loss over the last 2-3 months. He noted orthostatic and ambulatory dizziness, as well as left-sided tinnitus, sinus pain, and nosebleeds over [...]

Case Presentation: A 71-year-old male presented to the ER with complaints of constipation for one week. He has a past medical history of coronary artery disease status post CABG, congestive heart failure with reduced ejection fraction, Type II diabetes, chronic obstructive pulmonary disease, obstructive sleep apnea, peripheral vascular disease and hyperlipidemia. The patient was recently [...]