There seem to be quite a few major issues after the July 2018 Windows Updates were released. There’s a large discussion on Reddit regarding mail flow issues in Exchange 2010
Tag: KB4339093

After installing the latest cumulative Windows Update patch, some people are experiencing high CPU issues being used by the “Azure AD Connect Health Sync Monitor” (microsoft.online.reporting.monitoringagent.startup) (AzureADConnectHealthSyncMonitor) version 1.1.819.0. If