Case Presentation: A 43 year old male with a past medical history of stage 4 chronic kidney disease, hypertension treated with Minoxidil, former smoker, was initially diagnosed 9 years prior with presumed viral small pericardial effusion that remained stable on follow-up with serial echocardiograms. He presented with dyspnea and chest tightness with exertion, orthopnea, paroxysmal [...]

Case Presentation: This is the case of a 57-year-old lady with rapidly progressive stage IV pulmonary adenocarcinoma who presented two months after diagnosis with findings of significant hyponatremia. Upon admission, she was afebrile, hypotensive and tachycardic. Sodium was 119 mEq/L, potassium 2.4 mEq/L, chloride 67 mEq/L, serum osmolality 246 mosm/kg, urine osmolality 684 mosm/kg and [...]