Bradyarrhhtmias can cause low cardiac output (CO) state despite normal left ventricular ejection fraction and normal stroke volume. CO defined as product of the heart rate (HR) and SV. Cardiorenal syndrome (CRS) type I can be a consequences of Low CO state secondary to slow HR

Portal venous gas can be detected by a bedside point of care ultrasound examination. We present the case of a 73-year-old female with advanced ischemic cardiomyopathy. She developed vague abdominal pain. Her findings were consistent with portal venous gas with point-of-care ultrasound. She had nonobstructive mesenteric ischemia.

Stevens-Johnson Syndrome (SJS) happen as a result of infection, side effects to medications or of unknown etiology. Carbamazepine is a common cause (SJS). Good history taking is crucial if clinically indicated treatment with carbamazepine. carbamazepine should be avoided with previous history of severe drug reaction like mast cell activation syndrome.