Case Presentation: A 59 year-old female with past medical history significant for chronic hyponatremia and tobacco use presented to the hospital with complaints of dyspnea and neck pain for 2 weeks. She reported blurry vision and swelling in her neck, face and axillae. Initial vitals were stable. Admission labs were significant for sodium 125, baseline [...]

Case Presentation: An 82 y/o woman with Grave’s disease (diagnosed 3 years prior), h/o thyrotoxicosis, CKD stage 4, HTN, DM2, PAD s/p right AKA, HFpEF, and dementia presented to the ED with worsening bilateral upper extremity edema and new-onset right facial swelling. She denied dyspnea, dysphagia or voice change. Her arm edema was previously managed [...]

Case Presentation: A 65 year-old man with a past medical history of CAD s/p CABG, ischemic cardiomyopathy with EF 35%, bicuspid aortic valve stenosis s/p aortic valve replacement, and asbestosis presented to the ER for evaluation of anterior neck swelling, dyspnea on exertion, dysphagia, and a 30 lb unintentional weight loss over 5 months. On [...]