Case Presentation: Our patient is a 77-year-old female with no past medical history who presented with two weeks of dyspnea on exertion, scant hemoptysis, and rhinorrhea with occasional blood. Vitals showed tachycardia, tachypnea, and hypoxia with saturations 95% on 15 L/min via heated high flow nasal cannula. Exam revealed accessory muscle use, faint bibasilar rales, [...]

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 [...]