Select a Meeting...

Meetings Archive For SHM Converge 2021..

Abstract Number: 767
THE TUBULE DID IT: A UNIQUE CAUSE OF HYPERCALCEMIA IN AN INFANT
SHM Converge 2021
Case Presentation: A 6mo female with GERD presented with poor weight gain. She was born full-term with a normal newborn screen. Family history was non-contributory. Since birth, she had poor weight gain despite medical therapy . She had large-volume spit ups shortly after eating, prompting GI evaluation. She was developmentally delayed, unable to sit without […]
Abstract Number: 768
TAKING IT IN STRIDOR – WHATS CAUSING MY TROUBLE BREATHING?
SHM Converge 2021
Case Presentation: A healthy 3 year-old male from Arizona was seen in outpatient ENT clinic for 2.5 weeks of intermittent stridor, hoarse voice, barky cough, and 1 day of increased work of breathing. He had previously been evaluated on 4 separate occasions by his pediatrician or the emergency department. Each time, he was treated for […]
Abstract Number: 769
“MY LEG IS (BI-)KILLIN’ ME” A 10-YEAR-OLD GIRL WITH LEG PAIN AND FEVER AFTER INTRAMUSCULAR INJECTION
SHM Converge 2021
Case Presentation: A 10-year-old girl with recently diagnosed rheumatic fever presented to the emergency department with two days of right thigh pain. The pain began after her first dose of intramuscular (IM) benzathine penicillin G (BPG) in her right lateral thigh. The medication was administered by her mother, a pediatric nurse, with sterile technique. She […]
Abstract Number: 770
EPISODIC BLEEDING FROM THE RECTUM: A CASE OF A COVERT SOURCE
SHM Converge 2021
Case Presentation: A 10-year-old female presented with her third episode of painless hematochezia. Episodes were separated by months, each lasting 3 to 5 days with passage of multiple “fist-sized” bright red clots. There were no other associated symptoms and resolution of bleeding was spontaneous. Extensive prior workup included coagulation studies, upper and lower gastrointestinal (GI) […]
Abstract Number: 771
REFRACTORY AGITATION IN A PEDIATRIC PATIENT
SHM Converge 2021
Case Presentation: Anti-NMDA Receptor Encephalitis is an uncommon diagnosis disguised behind the more common chief complaint of altered mentation. Although treatment options have been established for this disease, management of its behavioral manifestations remains complex. Here we discuss a 13-year-old female who presented with acute-onset altered mental status and atypical behavior. At symptom onset, a […]
Abstract Number: 772
AN ANGRY GUT IRRITATES THE BRAIN
SHM Converge 2021
Case Presentation: An eight-year-old girl presented with acute onset of dragging her left foot that quickly progressed to left sided hemiplegia with confusion and decreased vocalization. She had episodic hematochezia and abdominal pain for 6 months prior and was hospitalized for rehydration secondary to these symptoms one week before presentation.Her temperature was 38.2C with blood […]
Abstract Number: 773
CLINICAL CONUNDRUM: DYSAUTONOMIA
SHM Converge 2021
Case Presentation: The patient is admitted after an episode of unresponsiveness and tremulousness at home. At an outside hospital, the patient was found to be hypertensive, tachycardic, tachypneic, with muscle stiffness and flexed posture. He was given lorazepam and cyproheptadine, which seemed to help his symptoms. He was transferred to the PICU, at which point […]
Abstract Number: 774
WHEN URINARY SYMPTOMS STRIKE: AN UNCOMMON PRESENTATION OF PEDIATRIC OVARIAN CYST
SHM Converge 2021
Case Presentation: A 15-year-old female was referred to the hospital by her urologist for persisting urinary retention and bladder distention concern. The patient endorsed 5 months of increased urgency and decreased frequency of urination, as well as a decreased amount during each void. She denied dysuria, gross hematuria, incontinence, or history of UTI. She had […]
Abstract Number: 776
WATCH FOR RED “PHLEG” SYMPTOMS: A RARE PRESENTATION OF ENTERITIS IN A YOUNG ADULT
SHM Converge 2021
Case Presentation: A 19-year-old man with past medical history of recently incompletely treated H. pylori presented to the ED with severe abdominal pain, nausea, and vomiting for 20 days. Vital signs were normal, and physical exam was unremarkable. CT abdomen/pelvis showed diffuse gastric wall thickening with mucosal enhancement and mesenteric, gastrohepatic ligament, and para-aortic adenopathy. […]
Abstract Number: 777
TWO FACES OF A SAME DISEASE: JOINT PAIN WITH FEVER
SHM Converge 2021
Case Presentation: Case 1: A 3-year-old female with no significant past medical history presented with a 5-week history of recurrent fevers as well as bilateral lower extremity pain with difficulty to ambulate. Imaging of the femur revealed focal lucencies in the proximal femoral shaft. The leading diagnosis at admission was malignancy given the length of […]