Case Presentation: A 77 year old female who had a diagnosed primary gastric adenocarcinoma at another hospital presented to the emergency department with shortness of breath. A chest x-ray was done which showed a large left-sided pleural effusion (Figure 1). An ultrasoundguided thoracentesis was done and the pleura was positive for metastatic adenocarcinoma, however the [...]

Case Presentation: An 82-year-old woman with a history of cirrhosis (unknown underlying etiology) and intermittent travel to Mexico presented to the emergency room with two weeks of abdominal pain, which included two episodes of hematemesis. She appeared thin, with low muscle mass, and her abdominal examination revealed distension, tenderness, ascites, and a fluid wave. Vitals [...]