Case Presentation: A 42-year-old African-American G8P5 woman with no significant past medical history developed tongue swelling the day after a preterm labor induction due to hydrops fetalis. The swelling initially resolved on the same day and the patient was discharged. However, during the following weeks, her tongue swelled almost every day. By the seventh week, [...]

Case Presentation: A 46-year-old healthy man presented with bilateral limb swelling, shortness of breath, fatigue, and orthopnea for one week. A transthoracic echocardiogram revealed a decreased ejection fraction (35-40%), severe pulmonary hypertension, diffuse hypokinesis, and significantly increased left ventricular wall thickness. Notably, he had presented with similar symptoms seven months earlier. At that time, he [...]

Case Presentation: A 68 year­-old man with prior Agent Orange exposure in Vietnam presents with 6 months of progressive orthostatic hypotension (OH), syncope, 60 lb weight loss, and lower extremity weakness, parasthesias, and allodynia.Prior workup found mildly elevated troponin and BNP, but a normal stress test. Midodrine had no improvement in OH, and BP on [...]