Case Presentation: A 70-year-old Caucasian woman with history of hypertension, hyperlipidemia, and newly diagnosed atrial fibrillation presented with persistent exertional dyspnea, fatigue, malaise, and anorexia for the past few days. She was recently discharged for community-acquired pneumonia twice at another institution without improvement of nonproductive cough, mild proximal muscle weakness, and exertional dyspnea. She was […]

Case Presentation: A 30-year-old woman with triple positive (Beta-2-glycoprotein IgG/IgM, anticardiolipin IgG/IgM, and lupus anticoagulant) antiphospholipid syndrome (APS) taking apixaban, aspirin, and hydroxychloroquine presented to the emergency department for progressive confusion, emesis, and hematochezia found to be in cardiogenic shock due to right ventricular failure with critical limb ischemia due to complete right popliteal artery […]