Case Presentation: A 38 year-old-male with cirrhosis from hepatitis B and C complicated by recurrent ascites, previous spontaneous bacterial peritonitis (SBP), and recurrent hepatic hydrothorax requiring transjugular intrahepatic portosystemic shunt presented with two days of increasing dyspnea at rest. He had recently been nonadherent with SBP prophylaxis and diuretics. Laboratory findings revealed leukocytosis of 17,500k/uL, [...]

Case Presentation: An 84 year old female with a past medical history of stroke, hypertension, hyperlipidemia, hypothyroidism, cataracts, glaucoma and recent diagnosis of autoimmune hepatitis presented with shortness of breath and abdominal pain. Three months prior to admission, the patient had been admitted and found to have acute liver failure secondary to autoimmune hepatitis and [...]

Case Presentation: A 50-year-old woman with history of ESRD on PD, CHF, and recent invasive pulmonary aspergillosis on posaconazole presents with three days of gradually progressive shortness of breath and right-sided chest pain. The chest pain was associated with coughing and deep breathing, but non-exertional with no hemoptysis. The patient lived with her sister and [...]

Case Presentation: A previously healthy 29-year-old woman was diagnosed with end-stage renal disease of unknown etiology and initiated on daily peritoneal dialysis. Patient reported poor compliance with this treatment regimen and, five months later, presented to the emergency department with non-productive cough and pleuritic chest pain. She was found to have left upper lobe pneumonia [...]