ADHF is a heterogeneous clinical syndrome that usually leads to hospitalization due to a combination of interconnected renal dysfunction, cardiac dysfunction, and vascular compliance. Hospitalizations from ADHF are linked to increased morbidity and mortality, with about half of the patients on readmission within six months and short-term cardiac mortality. Importantly, the overall long-term outcome is still poor, combining rates of cardiovascular death, hospitalization for heart failure, myocardial infarction, and stroke. Managing these patients remain a challenge, with an emphasis on end-organ perfusion (coronary and renal), primarily volume control and reduction of vascular resistance.

Alcohol withdrawal is a clinical state characterized by symptoms such as tremors, tachycardia, sweating, nausea and vomiting, headache, malaise, insomnia, grand mal convulsions amongst others. Patients typically present acutely with a history of recent cessation or reduction of heavy alcohol use after a long period of repeated, persistent use. It may feature perceptual disturbances such as illusions or hallucinations. It may present with delirium in a condition known as delirium tremens, which typically occurs after recent cessation or reduction of very heavy alcohol use in patients with a long-standing history of alcohol dependence syndrome, who may also have coexisting medical conditions. We herein report a case of a 40 year old man, with a 12-month history of persistent alcohol use, who presented with classical symptoms of alcohol withdrawal including inability to sleep, excessive sweating, tachycardia, vomiting, and hallucinations. There is no associated history of convulsions or co-morbid medical conditions. Features of this case are discussed, as well as evaluation and treatment of alcohol withdrawal.

Asthma is a long-term heterogeneous inflammatory condition of the airways. It is marked by shortness of breath, wheezing, intermittent cough and bronchial hyperreactivity. It has several phenotypes and people living with asthma have atopy. Asthma can occur at any age. However, it is more common in males before puberty; then, has equal sex ratio by adulthood.