Case Presentation: A 59 year-old male with intellectual disability presented with abdominal pain and distension following a fecal impaction. Imaging revealed diffuse gaseous colonic distension with colonic wall thickening suggestive of inflammatory colitis and colonic ileus without obstruction. His labs were notable for severe hypokalemia (1.5 mmol/L) and mild hypomagnesemia. Despite empiric antibiotic course, imaging [...]

Case Presentation: A 58 year old male with a past medical history of hypertension, hyperlipidemia, diabetes mellitus type 2, and stage 4 chronic kidney disease presented to the ED for 3 weeks of weakness, dyspnea, and bilateral lower extremity edema. Exam and workup was notable for anasarca, albumin of 1.8 g/dL, and CT with ascites [...]