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Search Results for LOS
Abstract Number: 605
SHM Converge 2024
Case Presentation: A 52 year-old man with PMH of HIV presented with inguinal lymphadenopathy, intermittent abdominal pain, suprapubic fullness, fever and poor urine production for several days. Bladder catheterization yielded a large volume of bloody urine. The patient had not experienced hematuria previously and had no history of urinary retention, urgency, perineal or GU trauma. […]
Abstract Number: 611
SHM Converge 2024
Case Presentation: 53y/o Hispanic woman with a history of cervical cancer in 2001 s/p treatment now in remission, HTN, and a recent diagnosis of inflammatory arthritis in 5/2023 on treatment with Infliximab who presented with recurrent fevers, diarrhea, and abdominal pain in the setting of new ascites for the past several weeks. Patient had previously […]
Abstract Number: 614
SHM Converge 2024
Case Presentation: 47 year old male with left temporal meningioma s/p resection, and recent immigration from India presented with fevers and worsening encephalopathy. CTH was unremarkable however MRI showed leptomeningeal hemispheric, brain stem, and cord signal with perivascular enhancement concerning for CNS TB however included a broad differential. He was started on empiric antibiotics for […]
Abstract Number: 625
SHM Converge 2024
Case Presentation: A 22-year-old Filipino man presented with worsening left groin and hip pain 2 weeks after falling down 3 steps on subway stairs. Since the fall, he had minimal range of motion due to pain and required assistance with ambulation. He also reported intermittent dull achiness in that hip one week prior to the […]
Abstract Number: 657
SHM Converge 2024
Case Presentation: A 72 year old diabetic male presents to the hospital with a severe and extensive rash involving the entire body. Despite being treated with prednisone, topical steroids and doxycycline, the patient’s symptoms worsened and spread cephalocaudally, eventually spreading to the hands and bilateral lower extremities. Skin biopsy confirmed a diagnosis of Pityriasis Rubra […]
Abstract Number: 658
SHM Converge 2024
Case Presentation: A 45 y.o. man presented with fever, night sweats, and hemoptysis for one week. He had immigrated to the United States from Mexico 4 years prior. Initial laboratory evaluation was notable for c-reactive protein 134.3mg/dL (normal: < 8mg/dL) and D-dimer 1646ng/mL (normal: < 500ng/mL). Chest CT showed multiple focal regions of consolidation with […]
Abstract Number: 700
SHM Converge 2024
Case Presentation: A 33-year-old Kenyan male school teacher presented to the hospital with a 3-day history of a gradually worsening diffuse headache, nausea and vomiting, and fevers. His past medical history was notable for liver cirrhosis of unknown etiology (Child-Pugh class B), complicated by portal hypertension. He had no known history of tuberculosis. His vital […]
Abstract Number: 745
SHM Converge 2024
Case Presentation: This is a 77 year old woman with a history of severe aortic stenosis, severe mitral regurgitation, and chronic atrial fibrillation (afib) on coumadin. In 2017, she underwent bioprosthetic aortic valve replacement, mitral valve repair, biatrial ablation (Maze procedure), and left atrial appendage ligation (WATCHMAN procedure), after which she was to continue coumadin […]
Abstract Number: 761
SHM Converge 2024
Case Presentation: A 33-year-old male with a past medical history of gout presented with a 5-day history of intermittent fevers, arthralgias, testicular pain and swelling. He denied dysuria, penile discharge, lymphadenopathy, and rashes. He reported having 3 female sexual partners over the past 6 months with consistent condom use and no history of sexually transmitted […]
Abstract Number: 796
SHM Converge 2024
Case Presentation: A 41 year old female from Haiti with a history of uterine fibroids and menorrhagia presents to the emergency room with subacute abdominal distension. A CT shows moderate ascites with peritoneal enhancement and infiltration of mesenteric fat by soft tissue densities suggestive of omental caking, thus favoring peritoneal carcinomatosis versus peritonitis. Serum CA-125 […]