Case Presentation: A 29-year-old female Jehovah’s Witness presented with three weeks of easy bruising in the absence of trauma. She also noticed heavier and prolonged menstrual flow associated with fatigue and dizziness. She denied medication use, febrile illnesses or neurologic symptoms. Vital signs were normal. Physical exam revealed multiple ecchymoses on bilateral upper and lower [...]

Case Presentation: A 75-year-old female with a history of gastrointestinal bleeding from a duodenal ulcer and post-transfusion hepatitis C presented to an outside hospital with generalized weakness, intermittent epigastric discomfort, and two weeks of melena. She denied NSAID or steroid use. She has been a bloodless patient since acquiring hepatitis C. On examination, the patient [...]