Case Presentation: A 56-year-old Caucasian female with history of mechanical aortic and mitral valves on chronic warfarin therapy, atrial fibrillation, and questionable history of SLE was admitted to the intensive care unit for emergent splenectomy following a motor vehicle accident. After initially being sent home from a regional hospital, she was diagnosed five days later [...]

Case Presentation: Our patient is a 39 year old G2 P0111 female with PMH of Type 1 diabetes mellitus and Hashimoto’s thyroiditis, s/p NSVD at 34 weeks due to previous pre-eclampsia (occurring 1 month prior to admission), who complained of acute dyspnea on exertion, orthopnea, lower extremity edema, and a 1-month history of fatigue and [...]

Case Presentation: Twenty three year old female presented with complaints of severe headache and dizziness since past 2 weeks. Her past medical history was significant for SLE, heart failure with reduced ejection fraction and lupus pericarditis. CT head showed possible left cerebellar stroke of indeterminate age and hence was admitted for the stroke workup. Few [...]

Case Presentation: A 30-year-old woman with triple positive (Beta-2-glycoprotein IgG/IgM, anticardiolipin IgG/IgM, and lupus anticoagulant) antiphospholipid syndrome (APS) taking apixaban, aspirin, and hydroxychloroquine presented to the emergency department for progressive confusion, emesis, and hematochezia found to be in cardiogenic shock due to right ventricular failure with critical limb ischemia due to complete right popliteal artery [...]