Select a Meeting...

Meetings Archive For SHM Converge 2023..

Abstract Number: 874
EMBODIED INEQUITY: GLYCOGENIC HEPATOPATHY DUE TO UNCONTROLLED TYPE 1 DIABETES
SHM Converge 2023
Case Presentation: A 19-year-old male with a history of trauma, depression, anxiety, foster system placement, and poorly controlled type 1 diabetes mellitus (T1DM) (A1C>14) with frequent admissions for diabetic ketoacidosis (DKA) presented with presyncope and 2 weeks of severe epigastric and RUQ abdominal pain. He endorsed inconsistent insulin use and frequent dietary indiscretion in part […]
Abstract Number: 875
A HIDDEN CULPRIT: A RARE CASE OF DAPTOMYCIN ASSOCIATED HEPATOTOXICITY
SHM Converge 2023
Case Presentation: A 71-year-old male with a PMH of CKD stage 3, CAD, BPH, atrial fibrillation, and diabetes mellitus presented to the ER for left foot swelling for the past 2-3 weeks. He had a history of left foot infection requiring debridement and skin grafts. Patient had recently tried a course of doxycycline and Keflex […]
Abstract Number: 876
TURNS OUT IT WASN’T JUST GAS
SHM Converge 2023
Case Presentation: A 7 year-old with hypohidrotic ectodermal dysplasia (ED) and recurrent sinusitis was admitted with diplopia, headaches, and fevers. In the preceding 2 months, he had multiple episodes of fever, nasal impetigo, and positive group A strep (GAS) throat swabs without pharyngitis. He was treated twice with azithromycin due to allergies to amoxicillin, cephalosporins, […]
Abstract Number: 877
CLOT OR NOT: PULMONARY INFARCT FOLLOWING COVID-19 INFECTION
SHM Converge 2023
Case Presentation: A previously healthy 5-year-old female was transferred to our facility for increasing respiratory distress in the setting of a COVID-19 infection with suspected secondary bacterial pneumonia. Approximately five days prior, she tested positive for COVID-19 after developing a cough. She was treated with supportive therapy until parents noticed her “breathing heavily.” At the […]
Abstract Number: 878
A PARTIAL ECLIPSE OF THE HEART
SHM Converge 2023
Case Presentation: A 14-year-old female with a history of hydrocephalus status-post ventriculoatrial (VA) shunt placement five years prior presented for acute lethargy characterized by difficulty waking her from sleep. Vital signs were T 36.6 C, pulse 72, respirations 20, BP 148/97, and SpO2 100% with exam notable for lethargy, spontaneous eye and limb movement, pupils […]
Abstract Number: 879
A NEAR MIS-C
SHM Converge 2023
Case Presentation: KM is a 13-year-old woman with no past medical history who presented with 1 week of daily vomiting, epigastric abdominal pain, and body aches. On review of systems has also had fever to 100.7, decreased oral intake, shortness of breath with activity and intermittent diarrhea but no headache, sore throat, wheezing or rash. […]
Abstract Number: 880
525,600 MINUTES: ONE YEAR IN THE HOSPITAL
SHM Converge 2023
Case Presentation: A 19-year-old male with history of VACTERL, end-stage kidney disease with kidney transplant 7 years prior, scoliosis with T8-L2 fusion 8 years prior, reversible posterior leukoencephalopathy syndrome (PRES), depression, and recent admission for suspected cannabinoid hyperemesis syndrome presented to the ED after a fall due to weakness, and recurrent nausea and vomiting.Physical exam […]
Abstract Number: 881
NOT YOUR TYPHI-CAL CASE OF PSYCHOSIS AND RHABDOMYOLYSIS
SHM Converge 2023
Case Presentation: A previously healthy, obese 15-year-old male presented to an ED in North Carolina with acute encephalopathy preceded by six days of flu-like symptoms with one day of diarrhea and cough. On presentation, he was febrile, tachycardic, tachypneic, with other vital signs normal. He was disoriented with slowed speech, inappropriate laughter, and delayed verbal […]
Abstract Number: 882
THE CURIOUS LIVER
SHM Converge 2023
Case Presentation: A 14-year-old healthy male presented with throbbing, right sided abdominal pain, intermittent headache, and bilateral neck and shoulder pain in the setting of six days of fever (temperature max 103° F). He had a history of a normal endoscopy after elevated stool calprotectin that normalized without intervention. Exposure history was notable for freshwater […]
Abstract Number: 883
THE ADOLESCENT WHO CRIED CHEST PAIN: A CURIOUS CHEST MASS
SHM Converge 2023
Case Presentation: A 17-year-old female with a past medical history of allergic rhinitis presents as transfer from an outside hospital for hemoptysis and chest pain. She reports three episodes of ¼ cup worth of bright red blood occurring within the last six months. No reported triggers and no history of trauma, smoking, vaping, lung or […]