Background: Throughout the COVID-19 pandemic, clinicians have sought to identify risk factors for severe disease to help guide hospital algorithms, resource allocation and therapeutics. Older age, high Charlson Comorbidity Index (CCI), D-dimer and C-reactive protein (CRP) are associated with severe disease (1-5). CCI and SaO2/FiO2 ratio are associated with mortality, but the changing SaO2 in [...]

Case Presentation: A 48-year-old female with no known medical history presented after a syncopal episode and one week of malaise and fatigue. She was diagnosed with high output heart failure complicating severe pulmonary hypertension. Hemoglobin was 2.7 g/dL with MCV of 50 fL. She denied menorrhagia, melena, hematuria or hematemesis as well as weight loss [...]

Case Presentation: A 59-year-old gentleman with newly diagnosed cirrhosis presented to the emergency room after 5 episodes of frank hematemesis. He had a recent screening esophagogastroduodenoscopy notable for portal hypertensive gastropathy without varices. On admission, he was hemodynamically stable with hemoglobin near his baseline. He was started on a pantoprazole infusion and IV ceftriaxone. Hours [...]

Case Presentation: INTRODUCTION:Hepatopulmonary syndrome (HPS) is a complication seen in 4-7% of patients with chronic liver disease. The definitive treatment for HPS is liver transplantation (LT). A high index of suspicion is required to diagnose HPS. We present a perplexing case of HPS presenting with just hypoxia and orthodeoxia in the setting of liver disease.CASE [...]

Case Presentation: A 48-year-old man with extreme obesity, heart failure, and a clinical diagnosis of gout presented with abdominal pain. Abdominal examination was limited by body habitus, as his body mass index was 68. Admission laboratory studies revealed acute kidney injury. He had been hospitalized before for similar presentations, but clear etiologies for the abdominal [...]

Case Presentation: A 48-year-old woman with invasive ductal adenocarcinoma of the breast presented with three weeks of progressive dyspnea on exertion and a non-productive cough. She was tachycardic and tachypneic but otherwise hemodynamically stable. Physical exam was only notable for labored breathing and obesity. Basic lab work was unremarkable. Arterial blood gas showed respiratory alkalosis [...]