Case Presentation: A 73  year old female with borderline diabetes mellitus and hypertension presented to the emergency department with the sudden onset of nontraumatic swelling, pain and ecchymosis of her right leg. She did report receiving an influenza vaccination at her left arm 3 weeks prior to this visit resulting in bruising from her shoulder [...]

Case Presentation: An 89 year old female with a recent admission for left knee atraumatic hemarthrosis a week ago, presented with arm pain to the emergency department. She had bilateral forearm and hand pain, swelling, and paresthesias that had started after getting blood draws at her last hospital stay and had slowly worsened.On physical exam, [...]

Case Presentation: A 74 year old female with a history of atrial fibrillation presented to the emergency room due to a 1 week history of respiratory distress.  She was tachypneic (respiratory rate = 24) and her room air oxygen saturation level was 91 per cent.  Diminished breath sounds in the lower third of her left [...]

Case Presentation: 82-year-old man on chronic Warfarin presented for evaluation of spontaneous right lower extremity swelling with bruising. Workup showed hemoglobin of 9.5 g/dL, platelet of 286 K/µL, PT 47.4 seconds, INR 5.0, and PTT > 200 seconds. CT of abdomen and leg revealed intra-abdominal hemorrhage and subcutaneous hematoma of the right leg. Within the [...]