Case Presentation: A 30 yo female without significant medical history presented to hospital complaining of facial swelling and dyspnea on exertion of 3 days duration. She described increasing fatigue, nausea and throat discomfort but denied diarrhea, cough, sputum production, fever, chills, rigors, sweats or abdominal pain. The patient had attributed her symptoms to contact with [...]

Case Presentation: A 67 year-old woman presented with acute cough, fever, and hypoxia. SARS-CoV2 testing was positive, and she was treated with dexamethasone and remdesivir. Over the next two days, her serum creatinine increased from 0.6 to 3.0 mg/dL, platelet count decreased from 281 to 48 k/L, and hemoglobin decreased from 13.1 to 11.3 g/dL. [...]

Case Presentation: We present the case of a 31 year old primigravida African American woman who presented to her post-partum follow up clinic visit two weeks after Cesarean section delivery of a preterm live infant at 29 weeks. She was found to be in hypertensive emergency (220/120 mmHg), with complaints of acute diffuse abdominal pain, [...]

Case Presentation: A 20 year old man with history of Systemic Lupus erythematous (SLE) with Lupus nephritis presented to the hospital with cough and hemoptysis for the past few days. He was found to have severe anemia (5.4 mg/dl), thrombocytopenia (52,000/mm3), elevated LDH (829), low haptoglobin (<8), hypocomplentemia (low C3 and C4), schistocytes on peripheral [...]

Case Presentation: A 36-year-old male with no past medical history presented to the emergency room for medical evaluation for one week of diarrhea that became bloody four days prior to presentation. During the hospitalization, he had worsening thrombocytopenia and labs were consistent with Shiga Toxin 2 positive hemolytic uremic syndrome. He was managed with supportive [...]

Case Presentation: Young female with history of juvenile rheumatoid arthritis, not on any medications,

Case Presentation: Atypical (complement-mediated) Hemolytic-Uremic Syndrome is a rare but life threatening thrombotic microangiopathy that affects patients of all ages. About 33-40% of patients sustain end-stage renal disease, stroke, myocardial infarction or have mortality during the first presentation of this syndrome. We present a case of a 32-year-old previously healthy male who presented to the [...]

Case Presentation: A 38 year-old woman presented with a three-day history of bloody diarrhea, left lower quadrant pain, anorexia, and nausea. She denied any sick contacts and did not eat any raw vegetables, raw or undercooked meat, frozen dinners, or restaurant food. CT abdomen and pelvis showed severe colitis and white blood cell count was [...]

Case Presentation: A 51-year-old woman with irritable bowel syndrome presented with abdominal distention, anasarca, and altered mental status. A few weeks prior to her admission, she received an intragluteal steroid injection at another facility for recently diagnosed sciatica. On admission to outside facility, vital signs were notable for hypertension (BP 171/88). Laboratory work was significant [...]

Case Presentation: A 41-year old-woman with history of Hashimoto’s thyroiditis was transferred from referring hospital (OSH) for persistent thrombocytopenia. Patient was well until one month prior to presentation, when she presented for right upper quadrant (RUQ) pain. The patient was diagnosed with gallstone cholecystitis and underwent laparoscopic cholecystectomy. At the time of her surgery, she [...]