Case Presentation: A 47-year-old female with a history of hypertension was admitted with worsening dyspnea, leg swelling, and a blood pressure of 219/147. She was nonadherent to home BP meds due to cost. Exam showed signs of fluid overload, including pitting edema and jugular venous distention. Labs revealed elevated serum creatinine (1.38 mg/dL), calcium (11.0 [...]

Case Presentation: A 43-year-old woman with uncontrolled type II diabetes mellitus, hypertension, CKD stage 3, and prior history of pyelonephritis complicated by E. coli bacteremia, presented with vomiting, anorexia, fever, chills, and mild abdominal discomfort. Exam was notable for normal vital signs, mild diffuse abdominal tenderness, and no costovertebral angle tenderness. Laboratory studies showed a [...]