Case Presentation: A previously healthy 50-year-old man presented with 4 days of abdominal distension and subjective fevers at home. He was from rural Guatemala originally, now moved to Irvine, California. He denied any noxious habits including alcohol consumption, other travel history, or occupational exposures. On presentation, vital signs were stable except for slight tachycardia to [...]

Case Presentation: A 70-year-old man presented with 5 months of anasarca and recurrent chylous ascites and left chylothorax. He had symptoms of dyspnea, orthostatic hypotension, bloating, early satiety, 20-pound unintentional weight loss, anasarca, and left periorbital purpura. He was a 25 pack-year current smoker with a past medical history including type 2 diabetes mellitus, hypothyroidism, [...]

Case Presentation: A previously healthy 68-year-old woman presented with three weeks of progressive abdominal and leg swelling. While visiting family in Mexico two weeks prior, she developed an itchy rash on her thighs that spread distally. She denied fever, cough, dysphagia, vomiting, or abdominal pain, but did report a six pound weight loss. Physical exam [...]

Case Presentation: 82 year-old female with a history of hypothyroidism on levothyroxine and coronary artery disease presented with 3 months of worsening generalized weakness, inability to walk, abdominal swelling, poor oral intake and 6 kg of unintentional weight loss. Review of symptoms was negative for fever, jaundice, orthopnea, dyspnea on exertion and syncope. Vital signs [...]