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Meetings Archive For SHM Converge 2025..

Abstract Number: 0494
ARRGH YOU SURE IT’S NOT SCURVY?: A UNIQUE PRESENTATION OF VITAMIN C DEFICIENCY IN A POST-BYPASS PATIENT
SHM Converge 2025
Case Presentation: A 47-year-old female with history of gastric bypass complicated by dumping syndrome, opioid use disorder on methadone, alcohol use disorder, migraines, and seizures presented with 3 weeks of painful bilateral lower extremity swelling, and 2 months of poor oral intake with persistent diarrhea. Her exam was also notable for tooth fragility, course hair, [...]
Abstract Number: 0495
LOST SENSES, FOUND DEFICIENCY: A CASE OF ANOSMIA LINKED TO HYPOZINCEMIA
SHM Converge 2025
Case Presentation: CASE PRESENTATIONA 78-year-old male with a medical history of uncontrolled diabetes mellitus, hypertension, and hyperlipidemia presented with a two-year history of anosmia and ageusia, significantly affecting his quality of life. These symptoms began shortly after a presumed COVID-19 infection, initially attributed to post-viral sequelae. Despite multiple interventions, including evaluation by otolaryngology and use [...]
Abstract Number: 0496
UNMASKING MILLER FISHER: A YOUNG MAN TURNS THE TIDE
SHM Converge 2025
Case Presentation: We present the case of a physically active 41-year-old male with a history of anxiety and restless leg syndrome who presented to the emergency department with complaints of vertigo, left arm numbness, and voice changes that progressed over less than two days. Initial concerns for an acute ischemic stroke prompted a stroke code, [...]
Abstract Number: 0497
PENICILLIN FAILURE WITH NEUROSYPHILIS
SHM Converge 2025
Case Presentation: A 72-year-old HIV-negative male with a past medical history of neurosyphilis who received two complete 2-week regimens of IV Penicillin G and one IM Penicillin, was admitted due to a recurrence of blurry vision and gait instability. The patient’s symptoms started with dizziness noted since last year, which then progressed to gait instability [...]
Abstract Number: 0498
RENAL MEDULLARY CARCINOMA WITH UNUSUAL PRESENTATION OF HEART FAILURE: A CASE REPORT
SHM Converge 2025
Case Presentation: We present a case of new-onset heart failure in a 31-year-old African American woman in the context of metastatic RMC. The patient was presented with a shortness of breath, swelling and discomfort of left forearm. The patient’s clinical evaluation involved a chest CT scan, which showed a concerning 11.5 x 8.0 x 9.0 [...]
Abstract Number: 0499
GLOVES OFF; AN ATYPICAL PRESENTATION OF SELF-INFLICTED PENILE DEGLOVING UNDER THE INFLUENCE OF COCAINE
SHM Converge 2025
Case Presentation: Penile degloving is a rare injury with few documented cases in literature. We present the case of a 41-year-old male with self-inflicted penile degloving while under the influence of cocaine.A 41-year-old male with PMH polysubstance abuse, MDD and bipolar disorder presented to the ED with five days of penile pain after prolonged masturbation [...]
Abstract Number: 0501
LEFT ATRIAL MYXOMA PRESENTING AS MULTIPLE EMBOLIC STROKES: A MULTIDISCIPLINARY CHALLENGE
SHM Converge 2025
Case Presentation: Patient is a 53-year-old female with a medical history of hypertension, hyperlipidemia, diabetes, and tobacco use, presented with a right middle cerebral artery (MCA) stroke and left-sided weakness. She initially delayed seeking care, attributing her symptoms to chronic back pain, but was eventually brought to the hospital by her family. MRI revealed a [...]
Abstract Number: 0503
OCULAR TUBERCULOSIS: AN EYE-OPENING SIGHT
SHM Converge 2025
Case Presentation: A 65-year-old Vietnamese man presented to the Emergency Department after a scleral defect was noted in his right eye by optometry. He reported four months of floaters and one month of worsening vision and light sensitivity in the right eye. No recent trauma.Ophthalmology exam showed visual acuity of 20/25 in the right eye [...]
Abstract Number: 0504
NOT RINGING A BELL: FACIAL PALSY AS THE INITIAL PRESENTATION OF MALIGNANT OTITIS EXTERNA WITH CRANIAL NERVE INVOLVEMENT AND SKULL BASE OSTEOMYELITIS
SHM Converge 2025
Case Presentation: A 58-year-old man with a history of type 2 diabetes mellitus (A1c 9.1%), recurrent ear infections presented to hospital with left ear pain, facial weakness, and sudden vision loss. The patient had frontal and left-temporal headaches for several months thought to be secondary to migraines or temporal arteritis. A temporal biopsy had been [...]
Abstract Number: 0505
AN UNEXPECTED CASE OF TYPE B LACTIC ACIDOSIS: FREQUENT NEBULIZER USE CAUSES STARK INCREASE IN LACTIC ACID WITHIN HOURS OF ADMINISTRATION
SHM Converge 2025
Case Presentation: Here we present a case of a 63 year old female with a past medical history of COPD on 5L home oxygen and BiPAP with eight exacerbations in the past year who presented with shortness of breath and was admitted for acute hypoxic respiratory failure secondary to COPD exacerbation. When initially evaluated by [...]