Case Presentation: A 55 year old obese black male with a history of Diabetes mellitus type 2 of more than 15 years, hyperlipidemia, hypertension, and recurrent CVA with residual right hemiparesis admitted for rehab. He complained of chest tightness which he first noted six months prior to current CVA and admission. He reported progressive skin […]

Case Presentation: 75 year old with non-alcoholic cirrhosis, heart failure preserved ejection fraction (HFpEF) and recurrent abdominal abscesses presented with platypnea orthodeoxia syndrome (POS) following diuresis. His oxygen saturation was 100% when lying flat and 78-80% when upright. Trans-esophageal echocardiogram confirmed a sinus venosus defect (SVD) with partial anomalous pulmonary venous return (PAPVR) of right […]