Case Presentation: A 54-year-old female with hepatitis C, liver cirrhosis, and history of intravenous heroin use presented with bilateral lower extremity swelling, weakness, multiple aphthous ulcers and a progressive, painful rash for 1 month. Physical examination revealed periorbital violaceous, erythematous rash, and non-blanching, non-palpable purpura extending from the bilateral lower extremities to the trunk and […]

Case Presentation: A 27-year-old male brought to the emergency department after being found unresponsive on the floor. The patient had no recollection of subsequent events until awakening in the ambulance. Notably, he had two prior hospitalizations for episodes of amnesia, “being off” and visual hallucinations. The patient was found to be hypoglycemic by the paramedics […]