Case Presentation: A 39-year-old female with history of systemic lupus erythematosus and antiphospholipid syndrome (APS) with recurrent venous thrombotic events despite anticoagulation presented with exertional dyspnea, chest pain and epigastric abdominal pain for 5 days. In the ED, she was found to be tachycardic, tachypneic, and hypoxic. A CT pulmonary angiography was obtained showing no […]

Case Presentation: A 65-year-old male presented to the emergency department with a 5-week history of epigastric pain, nausea, constipation and weight loss. Past medical history was significant for combined liver and kidney transplant 3 years prior due to hepatitis C cirrhosis and hepatorenal syndrome. Chronic immunosuppression consisted of mycophenolate mofetil, tacrolimus and prednisone. Laboratory studies […]