Case Presentation: A 73-year-old male with history of type 2 diabetes and one-month prior admission for acute renal failure in the setting of stage IV chronic kidney disease presented with symptomatic anemia found to have splenomegaly. A renal biopsy revealed features of membranoproliferative glomerulonephritis and necrotizing crescentic lesions with IgM kappa deposition, suspicious for cryoglobulinemic glomerulonephritis. Immunofixation [...]

Case Presentation: A 79-year-old woman with a past medical history of uncontrolled hypertension, migraine, and chronic kidney disease stage 3 presented with one week of poor oral intake, nausea, vomiting, vague abdominal pain, and chronic nonproductive cough. Physical exam revealed poor skin turgor, and lungs with crackles bilaterally. Laboratory studies showed Creatinine of 5.31 mg/dl [...]

Case Presentation: 78yo male on chronic anticoagulation (warfarin) for pmh significant of three previous venous thrombosis (DVT), hypertension, diabetes, and hypercholesterolemia presented with one week of progressive right lower extremity erythema, edema, pain and tmax of 99F. On physical exam, he had tense, non-pitting edema and erythema from 10cm distal to the right knee to [...]

Case Presentation: A 36- year-old female with asthma presented with worsening anasarca, malaise, headache, and subjective cognitive decline over three weeks. She had been to numerous hospitals and clinics for her symptoms. Despite various treatments, including Ciprofloxacin for presumed UTI, her symptoms continued to progress. A urinalysis at an outside hospital showed 4+ protein. On [...]