Case Presentation: An 18-year-old female with past medical history of benign primary hypergammaglobulinemic purpura of Waldenstrom presented with an acute kidney injury, nausea, and vomiting. On admission vital signs were significant for blood pressure elevated to 154/96. Physical exam was grossly normal. Notable laboratory studies included Hgb 8.7, Plt 393, BUN 16, creatinine 1.3 (baseline [...]

Case Presentation: A 71 year old Caucasian man with uncontrolled diabetes mellitus, stage III chronic kidney disease, hypertension, hyperlipidemia, sick sinus syndrome, and osteomyelitis of the right 2nd metatarsal s/p amputation, was transferred from an outside hospital for evaluation of rash and acute on chronic kidney injury. He first presented to the outside hospital for [...]