Case Presentation: A 57-year-old male with HIV, heart failure with reduced ejection fraction, and hypothyroidism initially presented for dyspnea on exertion, found on EKG to have electrical alternans. Telemetry showed intermittent type2 second degree AV block. Transthoracic echocardiogram was notable for large pericardial effusion, ejection fraction 35%, grade 1 diastolic dysfunction, early diastolic right ventricular […]

Case Presentation: A 43-year-old woman presented to the emergency department for sudden-onset of right calf pain, dyspnea, and coughing of blood-tinged sputum, along with worsening of right-sided, dull, heavy, pleuritic chest pain which had otherwise been present for three weeks. She was diagnosed with  systemic lupus erythematosus four days prior to presentation. On physical exam, pulse rate was 114/min […]