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Meetings Archive For SHM Converge 2021..

Abstract Number: 778
CONSIDERING E-CIGARETTE OR VAPING PRODUCT USE-ASSOCIATED LUNG INJURY IN THE ERA OF COVID-19
SHM Converge 2021
Case Presentation: A 17-year-old male presented with 4 days of shortness of breath, fatigue, tachypnea, chest pain, diffuse abdominal pain, and poor appetite. Labs notable for a negative COVID PCR,WBC 17, ferritin 938, lactic acid 2.2, LDH 613, CRP 40.3, procalcitonin 1.08, and THC positive. Multisystem Inflammatory Syndrome in Children (MIS-C) workup resulted negative COVID […]
Abstract Number: 779
BRUISED ABDOMEN THREW US FOR A LUPUS
SHM Converge 2021
Case Presentation: An 11-year-old boy with a history of mesenteric adenitis and appendectomy presented for abdominal pain two days after bruising his left flank by running into a countertop. ROS was positive for a new rash on the soles of his feet, recently noticed bubbles in urine, headache, and nausea, but negative for facial rash, […]
Abstract Number: 780
KAWASAKI DISEASE: AN ATYPICAL RESPONSE TO THE TYPICAL TREATMENT
SHM Converge 2021
Case Presentation: A 21-month-old previously healthy female presented with nine days of fever. Parents endorsed hand and feet swelling, and a red rash that resolved prior to presentation. She was fussy and had cracked lips. Labs were notable for C-reactive protein (CRP) of 18.52 mg/dL, erythrocyte sedimentation rate (ESR) >130 mm/hr, WBC 17.3 x 109/L, […]
Abstract Number: 781
RADIOGRAPHIC CLUES TO DIAGNOSING PULMONARY EMPYEMA SECONDARY TO TUBERCULOSIS IN PEDIATRIC PATIENTS
SHM Converge 2021
Case Presentation: A 2-year-old male, with no significant past medical history, presented to a tertiary children’s hospital with a 3-day history of fever and cough. Associated symptoms included chills, fatigue, and acute onset shortness of breath. Parents denied recent travel or sick contacts. Initial exam was significant for decreased breath sounds in the right lower […]
Abstract Number: 782
TRUST YOUR GUT WHEN EVALUATING AN FUO IN A TODDLER
SHM Converge 2021
Case Presentation: A 4-year-old previously healthy boy presented with 10 days of fevers, intermittent abdominal pain, and poor appetite. Exam was notable for mild abdominal distension without tenderness. Labs showed leukocytosis, normocytic anemia, and elevated inflammatory markers. An echocardiogram showed mild dilation of his left anterior descending and left main coronary arteries, and he was […]
Abstract Number: 783
COVID-19 PARAPNEUMONIC EFFUSION IN A NEUTROPENIC PATIENT WITH ACUTE LEUKEMIA
SHM Converge 2021
Case Presentation: A twenty-year-old female with acute lymphoblastic leukemia presented to the ED with one day of fever and a non-productive cough. Her vitals were significant for a fever of 102.8 F. Lung auscultation revealed diminished air entry to the right lower lung field. The rest of her physical exam was unremarkable.Chest radiograph demonstrated a […]
Abstract Number: 784
FEVER, HEADACHE, AND RHABDOMYOLYSIS- AN ATYPICAL PRESENTATION OF MIS-C
SHM Converge 2021
Case Presentation: A 15-year-old female with history of migraines presented to the emergency department with six days of headache, fatigue, and fever to 105F. Three days prior, she developed diffuse body aches and severe neck pain. On the day of presentation, the patient developed a nonpruritic rash on her face, trunk, and extremities. She had […]
Abstract Number: 785
GALL BLADDER NEMESIS; MASKED SEPSIS IN A PATIENT WITH CARDIOPULMONARY DISEASE LEADING TO SEPTIC SHOCK
SHM Converge 2021
Case Presentation: Sepsis is a primary cause of death in nearly 23.5% of chronic heart failure patients. The relationship between acute cholecystitis and cardiovascular disease is vague but there have been few studies suggesting cholecystocardiac link. Here we describe a similar case that presented as pulmonary edema and myocardial ischemia.81-year-old male with past medical history […]