Case Presentation: A 54-year-old man presented with resolving epigastric pain. Initial labs revealed platelets at 21K/uL. He had no symptoms, signs of bleeding, history of easy bruising or hematologic disease. Further labs showed LDH 690U/L, haptoglobin < 30mg/dL, and bilirubin 2.8mg/dL (indirect 2.2), consistent with intravascular hemolysis. Hgb was 13.4g/dL with MCV 83fL and reticulocyte [...]

Case Presentation: A 19-year-old woman presented to an outside hospital with 2-hours of slurred speech and right-sided paresthesia. Her past medical history was significant for obesity and gastric sleeve surgery. Vitals showed blood pressure of 156/98 mmHg, pulse of 96 bpm, respiratory rate of 18 bpm, and oxygen saturation of 100% on room air. The [...]

Case Presentation: A 54-year-old female presented to the Emergency Department (ED) with acute onset right leg weakness. Her medical history included recurrent cryptogenic strokes, fibromuscular dysplasia (FMD) involving the bilateral internal carotid arteries (ICAs), thrombocytopenia presumed to be immune thrombocytopenic purpura, and heterozygous Factor V Leiden and prothrombin G20210A gene mutations. Initial physical exam revealed [...]