Case Presentation: Acquired hemophilia A is a rare disorder related to autoantibodies against factor VIII (Fc VIII) and reduced Fc VIII/VIII inhibitors causing bleeding. The incidence is 1 to 1.5 per million a year with 78 years as a median. Diagnosis is crucial due to the mortality can include spontaneous hemorrhages into skin, muscles, soft [...]

Case Presentation: A 35-year-old female dog groomer with a history of an ovarian cyst presented as a direct admission from the Gastroenterology clinic due to worsening upper abdominal pain and weight loss for 2 months. An abdominal CT obtained two weeks prior showed a large left liver lobe mass measuring 6.3 x 4.6 cm. On [...]

Case Presentation: A 78-year-old female was referred to the ED from clinic for elevated creatinine and hyperkalemia after recent treatment of right lower extremity cellulitis with sulfamethoxazole/trimethoprim. Physical exam showed improving cellulitis and large area of ecchymosis on right wrist. The patient reports developing frequent large bruises without trauma for the previous two months. During [...]