Case Presentation: This patient is a 74-year old male with CAD, HFpEF, HTN, Type 2 DM, CKD3, and obesity admitted for sepsis secondary to bilateral lower extremity purulent cellulitis, complicated by acute decompensated heart failure. He was started on cefepime 2 g twice daily and on vancomycin (vanco), dosed daily by level. After receiving only two doses of vanco 1g, the patient was found to have persistently elevated [...]

Case Presentation: A 51-year-old man with history of alcoholic cirrhosis presented with diarrhea, abdominal pain, fatigue and confusion for one week. Vitals were within normal limits, though the patient reported subjective fevers at home. Physical exam was notable for asterixis and ascites, and a paracentesis was performed. Cell count and culture of his ascitic fluid [...]