A 50 y/o male with a PMH significant for HIV/HCV
co-infection, and chronic renal insufficiency, presented
to the ED with a one week history of progressive dyspnea
and diffuse abdominal discomfort. He reported resting
shortness of breath without orthopnea, PND, or chest
pain. His abdominal pain was diffuse, and he denied
nausea, vomiting, increased abdominal girth or lower
extremity edema.