Background: Patients with COVID-19 have increased rates of venous thromboembolism, however, there is currently no standardized approach to anticoagulation (AC) therapy particularly with respect to the proper dose of anticoagulation (prophylactic or therapeutic). Many observational studies have shown a mortality benefit in using prophylactic AC for hospitalized patients with COVID-19. A few studies have reported [...]

Background: The risk of thrombosis and bleeding in hospitalized patients with Coronavirus disease 2019 (COVID-19) is uncertain. Early studies suggested patients with COVID-19 may develop a unique coagulopathy marked by elevated thrombotic risk which has led some institutions to recommend stronger thromboprophylaxis in these patients. Our goal was to quantify the incidence of thrombosis and [...]

Case Presentation: A 69-year-old male with CKD Stage III and psoriatic arthritis on adalimumab (40 mg every 2 weeks) and methotrexate (20mg weekly) presents to the hospital after routine labs revealed macrocytic anemia and neutropenia. The patient was treated for right hand cellulitis 10 days ago in an urgent care setting with a dose of [...]

Case Presentation: A 72 year-old male patient with recent deceased donor renal transplant was on combined immune suppression with prednisone, tacrolimus and MMF. He Had multiple comorbidities but no previous history of IBD or autoimmune disease. He presented with normocytic anemia (hemoglobin 6.5 g/dL), weakness, anorexia and diarrhea. He was found to have ulcerated hemorrhoids [...]

Case Presentation: A 49 year old female with history of alcoholic cirrhosis presented to the ED after experiencing self-reported bright red blood per rectum that morning. Patient had history of numerous prior admissions for reported GI bleed with extensive endoscopic work-up; evidence of portal hypertensive gastropathy had been seen previously however no actively-bleeding lesions were [...]