Case Presentation: 33 year old male with a history of antiphospholipid antibody syndrome (APS), multiple venous thromboembolisms (VTE) on Coumadin, presented with epigastric pain and nausea. Exam was notable for tachycardia, hypertension with pallor, icterus and tender epigastrium. Laboratory studies revealed leukocytosis of 18.6, normocytic anemia, thrombocytopenia (20,000), isolated elevated total bilirubin and INR of […]

Case Presentation: A 68 year­-old man with prior Agent Orange exposure in Vietnam presents with 6 months of progressive orthostatic hypotension (OH), syncope, 60 lb weight loss, and lower extremity weakness, parasthesias, and allodynia.Prior workup found mildly elevated troponin and BNP, but a normal stress test. Midodrine had no improvement in OH, and BP on […]