Case Presentation: A 38 year-old-male with cirrhosis from hepatitis B and C complicated by recurrent ascites, previous spontaneous bacterial peritonitis (SBP), and recurrent hepatic hydrothorax requiring transjugular intrahepatic portosystemic shunt presented with two days of increasing dyspnea at rest. He had recently been nonadherent with SBP prophylaxis and diuretics. Laboratory findings revealed leukocytosis of 17,500k/uL, [...]

Case Presentation: A 68 year old caucasian female presented to the emergency department with 1 week of fever, chest pain, and dyspnea. On exam, she appeared cachectic and toxic . Her temperature was 101F, heart rate was 124/min, and she was in Atrial fibrillation. Her BP initially was 100/66, and respiratory rate was 25/min. Pulsus [...]

Case Presentation: A 41-year-old man presented with months of a dry cough, non-bloody diarrhea, and an unintentional 20-lb weight loss, as well as one day of a severe headache. His history was notable for injection drug use, homelessness, and HIV infection for which he was not taking any medications. Initial vitals were temperature 38.3°C, blood [...]