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Meetings Archive For SHM Converge 2023..

Abstract Number: 750
HIDDEN MYXEDEMA: SUPRAGLOTTIC EDEMA CAUSING AIRWAY OBSTRUCTION IN MYXEDEMA COMA
SHM Converge 2023
Case Presentation: A 62-year-old woman with a history of chronic kidney disease (stage 5) and acquired hypothyroidism secondary to radioactive iodine therapy for multinodular goiter presented with subacute slowed mentation, difficulty concentrating, slurred speech, visual hallucinations, and fatigue. Review of systems revealed cold intolerance, constipation, and dry skin. She was adherent to her daily levothyroxine. […]
Abstract Number: 751
STATIN INDUCED AUTOIMMUNE NECROTIZING MYOPATHY TREATED WITH STEROID AND AZATHIOPRINE.
SHM Converge 2023
Case Presentation: A 70-year-old female with a past medical history of diabetes mellitus type 2, hyperlipidemia, hypothyroidism and GERD presented to emergency department with complaints of weakness and myalgia. The patient reported that she was having trouble dressing and walking upstairs for 2 weeks. She stated that 2 weeks ago she felt weak and fell […]
Abstract Number: 752
TELESCOPING BOWELS INVITE A CLOSER LOOK
SHM Converge 2023
Case Presentation: Hereditary angioedema (HAE) is an uncommon diagnosis, but one with which providers should be familiar. While most frequently associated with localized edema of extremities and face, it may also present with gastrointestinal manifestations. Viral infection, including SARS-CoV-2 infection, can be one of many triggers for angioedema exacerbation. Here we present the clinical vignette […]
Abstract Number: 753
SPONTANEOUS RUPTURE OF BRONCHIAL ARTERY PSEUDOANEURYSM EXACERBATED BY ANTICOAGULANT THERAPY
SHM Converge 2023
Case Presentation: An 80 year old female presented with severe interscapular back pain of abrupt onset with radiation to the epigastrium. There was no preceding trauma. 43 days prior to current presentation, she was hospitalized for acute pulmonary embolism and was discharged home on apixaban. Other past medical history included hypertension, hyperlipidemia and coronary artery […]
Abstract Number: 754
NON-CARDIOGENIC PULMONARY EDEMA FOLLOWING GADOLINIUM USE FOR MAGNETIC RESONANCE IMAGING
SHM Converge 2023
Case Presentation: A 38-year-old woman with a history of Anxiety, Depression and Endometriosis presented for outpatient Magnetic Resonance Imaging (MRI) Pelvis with contrast for evaluation of chronic pelvic pain. Her medications included Alprazolam, Bupropion, Minoxidil, Sertraline and Ethinylestradiol/Levonorgestrel, with known allergies to Penicillin, Sulfa antibiotics and Shellfish. She fasted for four hours and took Alprazolam […]
Abstract Number: 755
WINDOWS INTO THE HEART: BILATERAL ENDOPHTHALMITIS DUE TO AGGREGATIBACTER ENDOCARDITIS
SHM Converge 2023
Case Presentation: A 50-year-old male with a history of hypertension, hyperlipidemia, and mitral valve prolapse presented to the ED per ophthalmology for further evaluation after 2 weeks of progressive bilateral vision changes, floaters, eye redness, and pain. On his initial presentation to eye clinic, he was diagnosed with bilateral panuveitis and managed with hourly prednisone […]
Abstract Number: 756
MONKEYPOX ON THE RISE: A CASE OF ACUTE ASCENDING PARALYSIS
SHM Converge 2023
Case Presentation: Case Presentation:A 36 year-old male with a history of HIV adequately controlled with Biktarvy and recent monkeypox infection presented with acute onset of rapidly ascending lower extremity paralysis. He presented to the ED for primary concern of severe left upper quadrant and back pain. He also noted bilateral lower extremity numbness below the […]
Abstract Number: 757
CHRONIC EOSINOPHILIC PNEUMONIA WITHOUT PERIPHERAL EOSINOPHILIA
SHM Converge 2023
Case Presentation: We present the case of a 62-year-old female with a past medical history of breast cancer diagnosed one-year prior status post lumpectomy, adjuvant radiation, and letrozole, who presented to the hospital with a 1.5 month history of cough, night sweats, fevers, and weight loss. She reported the cough was initially productive of yellow […]
Abstract Number: 758
A FATAL CASE OF NITROFURANTOIN INDUCED IDIOSYNCRATIC ACUTE LIVER INJURY
SHM Converge 2023
Case Presentation: 54 year-old female with past medical history of stage IV right renal cell carcinoma s/p nephrectomy and recurrent urinary tract infections secondary to left staghorn calculus was admitted for generalized weakness, fatigue, nausea, vomiting and altered mental status. Physical exam showed scleral icterus. Lab work was significant for elevated aminotransferases, bilirubin and alkaline […]
Abstract Number: 759
A CASE OF A SPONTANEOUS PNEUMOTHORAX WITH NON-VALVULAR RIGHT-SIDED ENDOCARDITIS
SHM Converge 2023
Case Presentation: A 28-year-old female with a PMH of intravenous drug use (IVDA) and untreated hepatitis C presented to the ED with one-week history of painful, erythematous, and tender skin in both upper and lower extremities. She also endorsed myalgia, pleuritic chest pain, and last use of heroin the day prior. She denied fever or […]