Case Presentation: A 48-year-old Columbian woman presented with 5 weeks of malaise, epistaxis, and hemoptysis. Physical exam was relevant for fever, conjunctival injection, hoarseness, coarse breath sounds, tachycardia, mononeuritis, trace lower extremity edema, and no stigmata of thrombotic microangiopathy (TMA). Labs were significant for a creatinine of 2.8, leukocytosis, thrombocytosis of 992×103, and microscopic hematuria. […]

Case Presentation: A 52-year-old man with past medical history of GERD and Gilbert’s syndrome presented with acute onset abdominal pain for 1 day. He had sudden onset epigastric pain, radiating into his left upper quadrant and his left lower flank.  Symptoms were constant since the first appearance. He reported nausea and reduced oral intake but without emesis and denied fever, […]