Terrance Pacheco is a 64 year old gentleman you have been asked to see in the ER with new onset thrombocytopenia and anemia. Terrance was brought into the ER by his family with new onset confusion that started 3 days ago. They have also noted easy bruising and presents with extensive ecchymoses on his lower shins. Terrance’s past medical history includes hypertension and dyslipidemia. He is on amlodipine 10 mg daily and atorvastatin 20 mg daily. He is otherwise well.