Background: The treatment of acute decompensated heart failure (ADHF) and comorbid acute kidney injury (AKI) can be quite challenging. Many times the etiology of AKI in this setting is multifactorial and may involve cardiorenal syndrome (CRS). Arterial underfilling, sympathetic nervous system upregulation, and systemic venous congestion contribute to impaired glomerular filtration rate in ADHF patients. [...]

Case Presentation: A morbidly obese, but otherwise healthy, 57 year old male, presented to his initial visit with his primary care provider with complaints of dysphagia, vomiting, and unintentional weight loss of 15 pounds over the previous month. He reported a sudden onset of vomiting after eating a large meal about a month prior. Following [...]

Case Presentation: A 67-year-old Fijean woman presented to the emergency department with three weeks of fevers, chills, weakness, watery non-bloody diarrhea, and unintentional 15lb weight loss. She had no recent travel, sick contacts, changes in dietary habits, antibiotic use, or initiation of new medications. Physical exam was significant for epigastric tenderness and hepatomegaly. Her laboratory [...]