Alessia Cooney

A 45-year old African American woman presents with progressive fatigue over the past week and has experienced intermittent episodes of severe hand pain that typically self-resolve. She has also noted a worsening headache over the last day. Her blood pressure is 197/105 mm Hg and heart rate is 90 bpm. The physical exam is notable for smooth and taut skin on the patient’s face and hands. Laboratory values show a creatinine of 3.1 mg/dL. What is the likely diagnosis?

A 72-year-old male with BPH and HTN presents from a subacute rehab facility for altered mental status and fever. He has had a Foley catheter in place for the past 10 days following hospitalization for hip fracture repair. Vital signs include BP 92/68, HR 110, T 103F rectally, RR 17, SpO2 98% on RA. Foley catheter is in place with cloudy urine in the Foley bag. Ultrasound demonstrated a non-distended bladder with Foley balloon in good position. UA from old Foley: >10 WBC per HPF. UA + Culture from new Foley: >10 WBC per HPF. What is the likely diagnosis?