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Meetings Archive For SHM Converge 2024..

Abstract Number: 478
INTERESTING CASE OF METFORMIN-ASSOCIATED LACTIC ACIDOSIS
SHM Converge 2024
Case Presentation: A 69-year-old woman, previously diagnosed with type 2 diabetes and managed with Metformin, along with a history of heart failure with preserved ejection fraction, was admitted to the hospital due to abdominal pain, nausea, vomiting, and diarrhea that had been ongoing for the three days leading up to her presentation. On arrival at [...]
Abstract Number: 479
RECURRENT ORAL ULCERS – ARE THEY HORSES OR ZEBRAS
SHM Converge 2024
Case Presentation: A 41 years-old Scottish male patient with a past medical history significant for erectile dysfunction, prior EBV infection, hyperlipidemia, umbilical hernia, and urethral meatal stenosis was referred by his PCP to rheumatology for oral thrush and recurrent oral ulcers for 3 years. The patient was initially seen by an Infectious disease doctor who [...]
Abstract Number: 480
NECROTIZING SWEET SYNDROME, A NOT-SO-SWEET POST-OPERATIVE COMPLICATION
SHM Converge 2024
Case Presentation: A 55-year-old male with history of bilateral degenerative hip joint disease presented for worsening serosanguinous drainage from his wounds one week after bilateral hip replacement. He further developed diaphoresis and chills and received cephalexin at an outside hospital from where he was later discharged. He did not have improvement from antibiotics and his [...]
Abstract Number: 482
NO SURGERY FOR SMALL INTESTINAL ANISAKIASIS: FINDINGS OF 21 CASES.
SHM Converge 2024
Case Presentation: 21 cases of small intestine anisakiasis were analyzed in terms of medical history, examinations of symptoms, vital signs, laboratory data, and CT findings. 9 cases were identified through specific anisakiasis Immunoglobulin E or Immunoglobulin A testing. 2 cases were confirmed by the detection of anisakis by endoscopic examination. 10 cases were diagnosed based [...]
Abstract Number: 483
VEXAS SYNDROME UNVEILED: A MULTIDIMENSIONAL JOURNEY FROM PRESENTATION TO MANAGEMENT
SHM Converge 2024
Case Presentation: An 83-year-old male with a past medical history of light chain MGUS, macrocytic anemia, and cytopenias, arrived at the emergency room presenting with hemorrhagic bullae on his left hand. He reported intermittent fever episodes and chronic, nonspecific joint pain. Admission labs indicated hemoglobin of 7.6, MCV of 114.1, platelet count of 109, and [...]
Abstract Number: 484
LUNG ABSCESS IN LATE DYSPHAGIC PATIENT AFTER LARYNGEAL SCHWANNOMA RESECTION
SHM Converge 2024
Case Presentation: Case: A 27-year-old male presented to the emergency room with fever, night sweats, and productive cough with brown sputum for the past week prior to presentation. He also noted associated anorexia, nausea, and non-bilious, non-bloody vomiting. The patient reported persistent dysphagia that had developed after his laryngeal schwannoma resection 15 years ago. On [...]
Abstract Number: 485
I CAN’T WALK: A DELAYED DIAGNOSIS OF ANKYLOSING SPONDYLITIS
SHM Converge 2024
Case Presentation: A 29-year-old African American male with chronic intermittent low back pain of several weeks presented with sudden-onset severe low back pain and inability to bear weight or ambulate. Prior to his hospitalization, he had a few urgent care visits, where he was diagnosed with back pain of muscular origin and was discharged home [...]
Abstract Number: 486
THE CROSSROADS OF CONVICTION: AN INTERDISCIPLINARY BIOETHICS CASE
SHM Converge 2024
Case Presentation: A 48-year-old woman, QF, with a past medical history of lupus nephritis and heart failure, was brought in for evaluation by her friend for fatigue and leg swelling. Despite documented medical problems, she denied having any health issues upon admission. Lab results revealed severe renal failure with a blood urea nitrogen of 163 [...]
Abstract Number: 487
BEYOND SEPSIS: A CASE OF HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS
SHM Converge 2024
Case Presentation: A 31-year-old male with a past medical history significant for treated syphilis presented with a three-month history of recurrent fevers. Despite close outpatient follow-up and extensive workup, his symptoms persisted prompting him to go to the ED.On presentation, the patient was febrile, hypotensive, and tachycardic. He was admitted for sepsis and was started [...]
Abstract Number: 491
SMALL BOWEL PERFORATION FROM A B CELL LYMPHOMA
SHM Converge 2024
Case Presentation: An 80-year-old female with a past medical history of atrial fibrillation on daily aspirin, previously managed with Eliquis but discontinued due to multiple GI bleeds of unknown origin, and unexplained leukocytosis up to 61.67K, transferred to an academic hospital from a community hospital for two episodes of hematochezia and symptomatic anemia with a [...]