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Abstract Number: 0582
A RARE CASE OF CONCOMITANT CHRONIC LYMPHOCYTIC LEUKEMIA (CLL) AND WALDENSTROM’S MACROGLOBULINEMIA (WM) PRESENTING WITH NEPHROTIC SYNDROME
SHM Converge 2025
Case Presentation: This patient is a 53-year-old male with type 1 diabetes, hyperlipidemia and hypertension who presented with a 5 week history of diffuse whole body edema and an unintentional weight gain of 10 kilograms. He was started on bumetanide, losartan and empagliflozin by his outpatient team with brief improvement but subsequently worsened. He presented [...]
Abstract Number: 0583
LOSING FAT OR MUSCLE? A CASE OF RHABDOMYOLYSIS FOLLOWING INITIATION OF SEMAGLUTIDE (WEGOVY)
SHM Converge 2025
Case Presentation: A 56-year-old female with past medical history of systemic lupus erythematosus (SLE) on hydroxychloroquine (HCQ) for 30 years, gastroesophageal reflux disease, autoimmune hepatitis on budesonide, asthma, and fibromyalgia presented to the emergency department (ED) with five days of worsening fatigue, bilateral lower extremity weakness, and pain. One week prior, she experienced nausea, heartburn, [...]
Abstract Number: 0585
AVOIDING A RASH CONCLUSION: A CASE OF ADULT IGA VASCULITIS AND THE COST OF A MISSED DIAGNOSIS
SHM Converge 2025
Case Presentation: 76-year-old Hispanic male, presented with two weeks of progressing rash, worsening AMS and new symptoms of fever and severe extremities pain. Previously treated for allergy, UTI, and Pneumonia without improvement. His past medical history included Hypertension, DM-2, and ischemic stroke. On examination he was disoriented and unable to answer questions. A disseminated non [...]
Abstract Number: 0586
INFECTION AT THE CORE: THE CHALLENGE OF DIAGNOSING INTHRATHECAL PUMP-ASSOCIATED BACTERIAL MENINGITIS
SHM Converge 2025
Case Presentation: This case report outlines the case of a 76 year-old male who presented with bacterial meningitis secondary to an infected intrathecal baclofen pump, but initial lumbar puncture cerebrospinal fluid (CSF) did not demonstrate pleocytosis. Patient endorsed worsening headache, vomiting, and bilateral lower extremity weakness 6 days prior to admission. He was immediately started [...]
Abstract Number: 0588
NOT SO CLEAR: AN UNUSUAL METASTASIS OF RENAL CELL CARCINOMA
SHM Converge 2025
Case Presentation: An 84-year-old male with oncologic history of oligometastatic ccRCC, metastatic prostate cancer and melanoma was found to have a 16mm enhancing, pancreatic head mass on evaluation of an infrarenal abdominal aortic aneurysm on computed tomography (CT). At age 61, he underwent a left radical nephrectomy for a 5 cm, Grade II ccRCC with [...]
Abstract Number: 0589
A RARE CONGENITAL CULPRIT CLEFT MITRAL ANTERIOR LEAFLET: BEHIND A NEW ONSET ATRIAL FIBRILLATION
SHM Converge 2025
Case Presentation: A 64-year-old male with a history of mitral valve prolapse (MVP) presented with palpitations that began the evening before admission. He had similar episodes three weeks prior that resolved spontaneously. Diagnosed with MVP in 2022 via transthoracic echocardiogram (TTE) after experiencing palpitations and shortness of breath, he underwent multiple echocardiograms and EKGs. In [...]
Abstract Number: 0590
DAPTOMYCIN-INDUCED ACUTE EOSINOPHILIC PNEUMONIA IN THE SETTING OF A VIRAL RESPIRATORY INFECTION AND PYODERMA GANGRENOSUM
SHM Converge 2025
Case Presentation: Acute eosinophilic pneumonia (AEP) is a rare condition and is often idiopathic, but among drug-induced causes, daptomycin-associated AEP is the most common.[1] The patient is a 75-year-old female with a past medical history of Sheehan syndrome, adrenal insufficiency, hypothyroidism, and type two diabetes mellitus admitted to the hospital with a non-productive cough ongoing [...]
Abstract Number: 0591
COMPLEX REGIONAL PAIN SYNDROME MASKING METASTATIC EPITHELIOID HEMANGIOENDOTHELIOMA: A DIAGNOSTIC CHALLENGE AND CLINICAL DILEMMA
SHM Converge 2025
Case Presentation: A 62-year-old woman with hypertension, carpal tunnel syndrome, and a year-long history of complex regional pain syndrome (CRPS) presented with chronic, severe right arm pain along with swelling and erythema. One year before this presentation, she had experienced right-hand numbness and tingling, leading to a carpal tunnel syndrome diagnosis and subsequent release surgery. [...]
Abstract Number: 0592
LESER-TRELAT SIGN WITH HIGH GRADE NEUROENDOCRINE CANCER
SHM Converge 2025
Case Presentation: A 71-year-old woman with a past medical history of hypertension presented for right sided flank pain and post-menopausal bleeding. The initial CT abdomen and pelvis demonstrated bilateral pleural effusions, diffuse lymphadenopathy, and right sided ureteropelvic junction (UPJ) stenosis with hydronephrosis. She underwent lymph node fine needle aspiration (FNA) and then transferred to our [...]
Abstract Number: 0593
GRANULOMATOSIS WITH POLYANGIITIS PRESENTING AS SEVERE RENAL FAILURE
SHM Converge 2025
Case Presentation: A 71-year-old Caucasian female with history of atrial fibrillation, gastroesophageal reflux disease, chronic kidney disease stage 3a was admitted for 2-week history of nausea, vomiting, and decreased urinary output. The patient had a recent admission for atrial fibrillation with rapid ventricular rate without causative etiology identified and was discharged on amiodarone and apixaban. [...]
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