Background: Lung ultrasound (LUS) is emerging as a useful diagnostic tool for several lung pathologies including pulmonary edema. The number of sonographic B-lines on LUS has been used as a test to detect pulmonary congestion in patients with chronic heart failure. However, its ability to detect elevated left-sided filling pressures relative to accepted noninvasive measure [...]

Case Presentation: A 57 year old man with a history of heart failure with preserved ejection fraction (HFpEF), chronic kidney disease (CKD) and hypertension presented with two weeks of exertional dyspnea and lower extremity edema, followed by 4-days of progressive tongue swelling. One-month prior, he was initiated on an ACE inhibitor (ACEi) and experienced tongue [...]

Case Presentation: An otherwise healthy 23-month-old girl presented to her pediatrician with several days of vomiting, abdominal pain, and decreased oral intake. She was found to have a Sodium of 128 mmol/L with mild transaminitis. She was admitted, treated IV fluid, had improvement in her sodium and oral intake and discharged after two days. She [...]

Case Presentation: A 65-year-old man presented with anasarca and dyspnea on exertion that progressively worsened over three weeks. He had no known cardiac, renal, or liver disease prior to presentation. Physical exam revealed elevated jugular venous distention, bibasilar crackles, tense ascites, scrotal edema, and pitting edema in bilateral lower extremities extending to the abdomen. Investigation [...]

Case Presentation: A 24 year old Afro-Caribbean woman with no medical history presented with intermittent facial swelling of one month, several months of fatigue, anorexia and unintentional weight loss of 65 pounds. The swelling initially involved the lower face with gradual spread to bilateral peri-orbital areas. There was no urticaria, rash, dysphagia, dyspnea or visual [...]

Case Presentation: A 49-year-old male presented with altered mental status and diffuse body pain. He denied any alcohol or drug intoxication, chest pain, shortness of breath, or infectious symptoms. His past history included chronic hypothyroidism and alcoholism. He had a temperature of 36.8 degrees Celsius with a heart rate of 96 bpm and was alert [...]

Case Presentation: 77F with COPD, CAD, HFpEF (50%), scimitar syndrome, pHTN, pAfib, type V long QT syndrome, SSS s/p ablation, TIA, and a recent mechanical fall with left pubic ramus fracture and subdural hematoma with recent discharge from acute rehabilitation center presents to the emergency room after a witnessed, mechanical fall at home due patient’s [...]