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Meetings Archive For SHM Converge 2022..

Abstract Number: P26
ALUMINUM! BETTER BE MINIMUM!
SHM Converge 2022
Case Presentation: 62-year-old male with GERD, ESRD on hemodialysis (HD) presented to the hospital in 2021 with a chief complaint of bilateral lower extremity swelling and difficulty ambulating though a chronic problem, symptoms worsened a few days prior to hospitalization. Patient also complained of myalgias bilateral lower extremities. Patient was hemodynamically stable and afebrile. Labs […]
Abstract Number: P27
MIXED MESSAGES: A CASE OF AUTOIMMUNE ENCEPHALITIS
SHM Converge 2022
Case Presentation: A 66-year-old male with hypertension, type 2 diabetes, hyperlipidemia, pulmonary emboli with +lupus anticoagulant, and intrathecal morphine pump presented for increasingly frequent episodic altered sensorium. Episodes were described as < 30 seconds of paresthesia, speech arrest, and déjà vu; no loss of consciousness or focal deficits. Onset was 2-3 months prior with associated […]
Abstract Number: P28
A CASE OF RAPIDLY PROGRESSING FIBRILLAR GLOMERULONEPHRITIS
SHM Converge 2022
Case Presentation: A 64-year-old female with hereditary transthyretin amyloidosis (hATTR) and hypothyroidism presented with three days of dull pain localized bilaterally to the biceps femorum, recurrent emesis, and anorexia. Her past medical history includes complications of hATTR (being treated with patisirtan and tafamidis); polyneuropathy, small bowel enteropathy, and cardiomyopathy with associated recent bioprosthetic mitral and […]
Abstract Number: P29
STATUS: A SEIZING CASE OF BUPROPION
SHM Converge 2022
Case Presentation: 20-year-old severely agitated female with history of major depression disorder and anxiety presented after ingesting up to 85 pills including escitalopram, bupropion and alprazolam. Subsequently requiring 4-point restraint due to combative behavior. Labs remarkable for hypokalemia and metabolic acidosis. UDS positive for amphetamines, benzodiazepines cannabis. However negative testing for acetaminophen, salicylates, and ETOH. […]
Abstract Number: P30
VACCINE INDUCED HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS: A RARE BUT FATAL ADVERSE EFFECT OF THE PFIZER-BIONTECH COVID-19 VACCINE
SHM Converge 2022
Case Presentation: A 32-year-old woman with no medical history presented to the hospital with 10 weeks of fevers, night sweats and progressive shortness of breath. Her symptoms began 1 week after her second dose of the Pfizer-BioNtech Covid-19 Vaccine. On admission, the patient was hemodynamically stable and febrile to 104.1. Exam was significant for conjunctival […]
Abstract Number: P31
SCURVY: A MISSED MIMICKER OF VASCULITIS
SHM Converge 2022
Case Presentation: A 62-year-old female presented with one month of progressive bilateral lower extremity pain, weakness, and functional decline. Her medical history was significant for cirrhosis secondary to hepatitis C (treated), chronic pancytopenia, and hypothyroidism. Her medications included atorvastatin, levothyroxine, omeprazole, spironolactone, tiotropium, venlafaxine, and quetiapine. She was a current smoker with a 20-pack year […]
Abstract Number: P32
RAPIDLY PROGRESSIVE HYPEREOSINOPHILIC SYNDROME: A POTENTIAL LATE COMPLICATION OF COVID-19
SHM Converge 2022
Case Presentation: We present a case of rapidly progressive Hypereosinophilic Syndrome (HES), a possible late complication of Sars-CoV-2 (COVID-19). A previously healthy 48-yr old male recovered from COVID-19 approximately 30 days before symptom onset. He had fevers, chills, diffuse abdominal pain with nausea, vomiting, and diarrhea with diffuse erythematous pruritic rash and Raynaud’s phenomenon (Image […]
Abstract Number: P34
A RARE CASE OF PULMONARY RENAL SYNDROME SECONDARY TO MICROSCOPIC POLYANGITIS
SHM Converge 2022
Case Presentation: 49-year-old male patient with history of hypertension was sent by his nephrologist to the ER for unexplained worsening renal function and likely renal biopsy. Vital signs were stable, exam was unremarkable, however BUN was 85 mg/dL with creatinine of 10.1 mg/dL (baseline of 1.5 mg/dL). 24-hour urine protein excretion was 5.2 grams. The […]
Abstract Number: P35
THROMBOSIS, THROMBOCYTOPENIA AND LUPUS ANTICOAGULANT AFTER ADENOVIRAL VECTOR VACCINE
SHM Converge 2022
Case Presentation: A 53-year-old man with a history of well controlled seizures presented with a swollen left leg, hypoxia and palpitations after a trans-Atlantic flight. Chest computed tomography showed bilateral subsegmental pulmonary emboli, with no evidence of right heart strain. Doppler ultrasonography of the lower extremities showed significant clot burden in the left femoral, popliteal, […]
Abstract Number: P36
A RARE OCCURENCE OF EXTRAGONADAL CHORIOCARCINOMA IN THE LUNG
SHM Converge 2022
Case Presentation: A 54 year old African American female with a past medical history of significant tobacco use presented with worsening shortness of breath and increased cough. She reported having hemoptysis 2 months ago which resolved, unexplained weight loss (30 lbs over 6 months), orthopnea, and diaphoresis. Physical examination was positive for wheezing and rhonchi, […]