Background: Hip fracture (HP) involves bleeding that often requires blood transfusion and it can be life-threatening. Jehovah’s witnesses (JW) refuse blood products (BP) administration because of religious beliefs. Recombinant Human Erythropoietin (rHuEPO) has become an alternative but there are still no guidelines on its use in these situations. Methods: JW patients with HP admitted to [...]

Case Presentation: A Caucasian man in his 60s presented to the ED with a 6-week history of extensive bruising, worse in both legs and buttocks, along with shortness of breath on minimal exertion. He stated he had a chronic wound on his right leg (Figure 1). He was not taking any regular medications. Days later [...]

Case Presentation: Heyde syndrome is a rare multisystem disorder characterized by the triad of aortic stenosis (AS), gastrointestinal bleeding, and acquired von Willebrand syndrome (AVWS). The pathophysiology of AVWS in Heyde syndrome is thought to be due to the increased circulatory shear forces resulting from AS, leading to cleavage of large VWF multimers and loss [...]

Case Presentation: A sixty-six-year-old male with a history of Monoclonal Gammopathy of Undetermined Significance (MGUS), Atrial Fibrillation, and Rheumatic Heart Disease requiring aortic and mitral valvuloplasty, was on warfarin with an INR goal of 3.5-4 due to multiple hypercoagulable factors and recurrent Transient Ischemic Attacks (TIAs) at INR 2.5-3.5. Post prostate cancer radiation, he developed [...]