Case Presentation: 69-year-old-female with past medical history significant for Heart Failure with preserved ejection fraction (HFpEF), chronic lymphedema, and hypertension presented with 1 week of shortness of breath, melena and dysphagia. On admission, vital signs were notable for hypotension and physical examination revealed bibasilar rales and abdominal distension. Laboratory findings showed hyponatremia (129 mmol/L), elevated [...]