Case Presentation: A 62-year-old female with diabetes, hyperlipidemia, and hypertension presented after a transient episode of left-sided weakness and dysarthria that resolved by the time of arrival to the emergency department. Vital signs were stable except for a blood pressure of 167/92. Physical exam, including a comprehensive neurologic exam, was negative. Urgent stroke workup was [...]

Case Presentation: A 55-year-old female with a past medical history of seizure disorder and prior opioid use presented to an outside emergency department with a 1-day history of expressive aphasia and headache. Her NIH Stroke Scale was 4. CT head w/o contrast demonstrated a subacute infarct within the left middle cerebral artery (MCA) territory and [...]

Case Presentation: A 53-year-old male with a history of Goodpasture syndrome, systemic lupus, and Wegener’s granulomatosis underwent a deceased donor kidney transplant for end-stage renal disease. Two days post-surgery, the patient developed anemia and thrombocytopenia, elevated lactate dehydrogenase, and increased creatinine, prompting a preemptive diagnosis of TTP. Plasmapheresis was initiated every other day, alternating with [...]

Case Presentation: A 36-year-old male with no past medical history presented to the emergency room for medical evaluation for one week of diarrhea that became bloody four days prior to presentation. During the hospitalization, he had worsening thrombocytopenia and labs were consistent with Shiga Toxin 2 positive hemolytic uremic syndrome. He was managed with supportive [...]

Case Presentation: A 66-year-old female with medical history of breast cancer s/p mastectomy and chemoradiation with no proven recurrence and a recent CT guided biopsy of paraaortic nodes showing adenocarcinoma of unknown primary who presented to the ED with chief complaint of shortness of breath and leg swelling. Physical examination was significant for BP of [...]

Case Presentation: A 29-year-old female Jehovah’s Witness presented with three weeks of easy bruising in the absence of trauma. She also noticed heavier and prolonged menstrual flow associated with fatigue and dizziness. She denied medication use, febrile illnesses or neurologic symptoms. Vital signs were normal. Physical exam revealed multiple ecchymoses on bilateral upper and lower [...]