A 68-year-old man with a past medical history that was significant for hypertension, gout, degenerative joint disease, and diverticulitis presented to the inpatient service at our institution with a chief complaint of lower quadrant abdominal pain, shortness of breath, and peripheral edema. On physical examination, he was found to have scattered bibasilar crackles on lung auscultation and 2+ pitting lower extremity edema.
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