Case Presentation: A 73-year-old Caucasian male presented with worsening fatigue and dyspnea for several days. His comorbidities included remote history of essential thrombocytosis controlled with aspirin, hypertension, chronic kidney disease, and mitral valve repair. He was admitted to the medical ICU for acute hypoxic respiratory failure requiring mechanical ventilation. His physical exam was remarkable for [...]

Case Presentation: An 81-year-old man with a history of heart failure (HF) and recent diagnosis of an ileocecal mass with associated bulky lymphadenopathy and peritoneal carcinomatosis (Figure 1) presented to the emergency room with decreased appetite, abdominal pain, and worsening abdominal distention. Upon arrival, the patient was afebrile and hemodynamically stable. Physical examination was remarkable [...]

Case Presentation: A 67 year old African American man with extensive stage small cell neuroendocrine lung cancer presented to the ED with one month of shortness of breath. On exam, he was in mild distress requiring 2L nasal cannula (NC). RR 23-37. CXR revealed a large right pleural effusion. A thoracentesis confirmed the effusion to [...]