Case Presentation: We present the case of a 58 -year-old opioid naïve man admitted for elective knee arthroplasty received parenteral hydromorphone and enteral oxycodone for analgesia. On post-operative day one, he developed abdominal pain. Abdominal X-ray showed stool burden suggesting constipation (OIC) prompting management with laxatives; he was given 12 mg parenteral methylnaltrexone. Overnight he […]

Case Presentation: A 46-year-old man with history of hypertension and no prior history of heart failure presented with acute hypoxic respiratory failure and was subsequently intubated. Chest imaging revealed pulmonary edema and echocardiography showed an ejection fraction (EF) of 10-15% with severe global left ventricular systolic dysfunction. Patient’s respiratory status improved after two doses of […]