Case Presentation: An 87-year-old female with congestive heart failure (CHF), coronary artery disease, atrial fibrillation, COPD, and chronic kidney disease presented with 3-day-history of diarrhea, worsened dyspnea, leg swelling and weight gain. Vitals signs were temperature 38.3 C, pulse 104, respiration 20-25 and blood pressure 112/46. Examination was significant for bilateral crackles in lungs, irregular [...]