Case Presentation: An 81-year-old female with history of atrial fibrillation and bioprosthestic mitral valve replacement on warfarin presented after INR was reported as 6.3 and increased dyspnea. Physical exam was non-significant but lab findings showed a white blood count of 13.5 k/μl (4.0-11.0 k/μl), Hemoglobin 10.8 g/dl(12-15.3 g/dl), Platelets 285 k/μl(150-450k/μl). CT chest without contrast […]

Case Presentation: A 67-year-old male with history of alcohol abuse and chronic hyponatremia related to beer potomania presented to hospital with nosebleed and coincidently found to have hyponatremia of 118 meq/L and hypokalemia of 3.3 meq/L. He was treated with fluid restriction, Lasix 20 mg and sodium chloride 2 gm daily. Upon outpatient follow up […]