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Meetings Archive For SHM Converge 2021..

Abstract Number: 445
RECURRENT FEVER SECONDARY TO MACROPHGE ACTIVATION SYNDROME
SHM Converge 2021
Case Presentation: 41-year-old African American female with a history of Systemic lupus erythematosus (SLE) with antiphospholipid syndrome and cocaine abuse presents with acute onset of atypical chest pain, upper respiratory tract infection symptoms, myalgia, and arthralgia with an unremarkable physical examination. The labs were significant for urine drug screen positive for cocaine, elevated troponin, and [...]
Abstract Number: 446
INSULIN DRIP FOR MANAGEMENT OF HYPERTRIGLYCERIDEMIA INDUCED PANCREATITIS
SHM Converge 2021
Case Presentation: A 31-year-old-female presented to the hospital with a one-day history of severe left lower quadrant abdominal pain that was gradual in onset, associated with nausea and emesis. She also reported epigastric and left flank pain. She experienced a similar episode two months prior, which lasted several days. She denied hematuria, vaginal discharge, or [...]
Abstract Number: 448
SCURVY AND OTHER COMPLICATIONS OF TREATMENT FOR SELF-REPORTED MAST CELL ACTIVATION SYNDROME
SHM Converge 2021
Case Presentation: A 58-year-old woman with self-reported history of mast cell activation syndrome and chronic back pain presented to the hospital three times over a two-month period for recurrent skin/soft tissue infections. Her first hospitalization (10/19 – 10/24) was for bilateral hand/wrist abscesses requiring extensive tenosynovectomy and radiocarpal arthrotomy; cultures grew MSSA and she was [...]
Abstract Number: 449
THE CASE OF COVID-19 PNEUMONIA THAT WASN’T
SHM Converge 2021
Case Presentation: A 50-year-old male with history of gastric lap band, obstructive sleep apnea, hypertension, and type 2 diabetes presented with two months of worsening shortness of breath. He denied cough, fever, myalgias, diarrhea, loss of sense of taste or smell, or pleuritic chest pain. He had no history of asthma, COPD, or tobacco use. [...]
Abstract Number: 450
THE PLEURAL PROBLEM: A RARE, AND LIFE-THREATENING, COMPLICATION OF COVID-19 PNEUMONIA
SHM Converge 2021
Case Presentation: A 70-year-old male with history of coronary artery disease, paroxysmal atrial flutter, hypertension, prostate cancer presented to the ED due to purulent discharge from his penis and was found incidentally to have COVID-19 on nasal swab. He was started on vancomycin, cefepime, and fluconazole for complicated penile cellulitis. For COVID-19 he was started [...]
Abstract Number: 451
AN AAGGRAVATING CASE OF RECURRENT FALLS
SHM Converge 2021
Case Presentation: A 57 year-old female with a history of COPD and CKD presented with recurrent syncope. The patient reported a two year history of recurrent syncopal events and progressive worsening of orthostatic intolerance with inability to ambulate independently. She denied any gastrointestinal or urinary symptoms as well as changes in her sweating patterns. Blood [...]
Abstract Number: 452
WHY ARE THE PLATELETS GONE? A CASE OF TMA IN COVID-19
SHM Converge 2021
Case Presentation: A 67 year-old woman presented with acute cough, fever, and hypoxia. SARS-CoV2 testing was positive, and she was treated with dexamethasone and remdesivir. Over the next two days, her serum creatinine increased from 0.6 to 3.0 mg/dL, platelet count decreased from 281 to 48 k/L, and hemoglobin decreased from 13.1 to 11.3 g/dL. [...]
Abstract Number: 453
HYPERTRIGLYCERIDEMIA INDUCED PANCREATITIS: A COST-EFFECTIVE MANAGEMENT APPROACH
SHM Converge 2021
Case Presentation: Our case involves a 45-year-old male with a history of alcohol abuse, who presented with acute epigastric pain and bilious emesis. On exam, he had severe epigastric tenderness with guarding and normoactive bowel sounds. When obtaining labs, his blood was grossly turbid. Labs were significant for elevated lipase (1,534 IU/L), normal TSH (1.23 [...]
Abstract Number: 454
WHAT IS THAT BEHIND THE LIVER? A CASE OF HHV-8 NEGATIVE MULTICENTRIC CASTLEMAN’S DISEASE
SHM Converge 2021
Case Presentation: A 37-year-old Asian-American woman with a past medical history significant for PCOS, HPV, HSV- 1, iron malabsorption/deficiency, and vitamin B12 deficiency-related anemia presented to the ED with body aches, fever, fatigue, cough, and recurrent URI for the past 3 months. Following treatment, she presented two weeks later to the hematology clinic for scheduled [...]
Abstract Number: 455
MISTAKEN IDENTITY: A CASE OF AURICULAR PERICHONDRITIS CONFUSED FOR CELLULITIS IN THE SETTING OF INFLAMMATORY BOWEL DISEASE
SHM Converge 2021
Case Presentation: A 54-year-old male with past medical history of ulcerative colitis not on active treatment and DM type II presented to his primary care provider (PCP) with right ear pain and swelling which began a week prior. His PCP added oral clindamycin, Cortisporin otic drops, and later prednisone when his pain and swelling did [...]