Case Presentation: Our patient is a 65 year old male with history of end stage renal disease on hemodialysis, peripheral arterial disease complicated by bilateral below knee amputations, and type 2 diabetes mellitus admitted with limited flow on his right AV fistula. An IR fistulagram revealed moderate stenosis of the basilic vein outflow, and mild […]

Case Presentation: A 45 year old woman with a past medical history of ESRD on hemodialysis, antiphospholipid syndrome on warfarin, and type 2 diabetes presented with severe, diffuse, intermittent abdominal pain. Physical exam was notable for tender subcutaneous nodules in the lower abdomen associated with overlying violaceous patches and central necrosis. Labs were notable for […]

Case Presentation: A 20-year-old female with systemic lupus erythematosus and end stage renal disease (ESRD) secondary to lupus nephritis on hemodialysis via left upper extremity arteriovenous graft presented to the emergency department for pain, erythema, and swelling of the right inferior breast. She was initially treated for cellulitis with resolution of erythema and warmth of […]