Session Type
Meeting
Search Results
Abstract Number: 28
SHM Converge 2023
Case Presentation: A 15-year-old male with HIV and inconsistent antiretroviral therapy adherence presented to an HIV clinic in Lilongwe, Malawi with weight loss, night sweats, lower extremity rash, and diarrhea. The rash on his legs had been present for 4 months and then spread to his arms. On exam, his vital signs were unremarkable. He […]
Abstract Number: 29
SHM Converge 2023
Case Presentation: A 16 year old boy with obesity presented for dehydration in the setting of three months of abdominal pain, nausea, and non-bloody, non-bilious emesis. Outpatient work-up had been unrevealing. He also endorsed cannabis use and vaping. He had lost 70 pounds during this time. New symptoms in the days prior to admission included dizziness […]
Abstract Number: 30
SHM Converge 2023
Case Presentation: A healthy five-year-old girl was admitted from Ophthalmology Clinic for evaluation of bilateral anterior uveitis, fatigue and weight loss. History was notable for a cat scratch to the right eye one month prior which had prompted the referral to Ophthalmology Clinic. Patient also reported fatigue, night sweats, intermittent headache, poor oral intake, and […]
Abstract Number: 299
SHM Converge 2023
Case Presentation: A 73-year-old male with history of type 2 diabetes and one-month prior admission for acute renal failure in the setting of stage IV chronic kidney disease presented with symptomatic anemia found to have splenomegaly. A renal biopsy revealed features of membranoproliferative glomerulonephritis and necrotizing crescentic lesions with IgM kappa deposition, suspicious for cryoglobulinemic glomerulonephritis. Immunofixation […]
Abstract Number: 426
SHM Converge 2023
Case Presentation: Pharyngeal pain is typically associated with upper respiratory tract pathology; rarely is it considered the initial presentation of acute coronary syndrome (ACS). Delayed diagnosis and treatment of ACS in such cases can lead to poor patient outcomes and increased mortality (1). A 76-year-old male with a medical history of benign prostate hyperplasia and […]
Abstract Number: 427
SHM Converge 2023
Case Presentation: A 76-year-old female with Diabetes Mellitus and COPD on 3L home oxygen and chronic prednisone, presented to the Emergency Department with diffuse abdominal pain and nausea. She denied alcohol or tobacco use. On arrival, vital signs were significant for tachycardia with new oxygen requirements. Physical exam was notable for epigastric, left lower quadrant, […]
Abstract Number: 428
SHM Converge 2023
Case Presentation: A 57-year-old male with previous hemorrhagic stroke complicated by residual left sided deficits with vascular dementia, primary hypertension on a regimen of carvedilol 25mg twice daily, and recurrent urinary tract infections due to obstructive calculi presented with acute-onset lethargy and encephalopathy. Presenting vitals were notable for hypotension (64/53), bradycardia (43 beats per minute), […]
Abstract Number: 429
SHM Converge 2023
Case Presentation: An 80-year-old man with a past medical history of hypertension, benign prostatic hyperplasia, and hypothyroidism, presented to the emergency department due to a sudden loss of consciousness. The episode lasted a few minutes and was not associated with trauma, prodrome, seizure, or postictal confusion. Patient had recently been prescribed phenazopyridine for a suspected […]
Abstract Number: 430
SHM Converge 2023
Case Presentation: A 61-year male presents with complaints of a cough and progressive dyspnea for over a week. Pertinent history included a Tuberculosis (TB) infection over thirty years ago with an unclear treatment course. Social history was positive for a 40 pack-year smoking history. On presentation, he was tachycardic, hypoxic and tachypneic. Physical exam was […]
Abstract Number: 431
SHM Converge 2023
Case Presentation: A 63-year-old man with type 2 diabetes, a previous gunshot wound with left upper extremity contracture, and a prior stroke presented to the emergency room in July 2022 with a rash on his right hand, swelling of the distal right arm, and a few scattered spots on his abdomen and flanks. The patient […]