A 59-yeаr-оld mаle presents tо the ED with cоmplаints of altered mental status and bruising. On exam he is noted to be delirious, hypertensive with a BP of 188/104 mmHg, and multiple areas of large bruising are noted bilaterally on his legs. Labs reveal a new AKI with a creatinine of 2.9 mg/dL, new anemia with a Hgb of 7.4 g/dL, and severe thrombocytopenia with a platelet count of 22,000 mcL. Several other laboratory tests are sent off as a part of his work-up including an ADAMTS13. Which of the following are possible clinical manifestations of thrombotic thrombocytopenic purpura (TTP)?