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Abstract Number: 432
SHM Converge 2023
Case Presentation: Our first patient is a 75-year-old female with a history of hypertension, type 2 diabetes, hypothyroidism, rheumatoid arthritis, chronic kidney disease stage III, FSGS, and fibromyalgia who presented with a one-week history of midsternal chest pain, dyspnea on exertion, decreased exercise tolerance and epigastric discomfort. Vital signs were notable for tachypnea (22 bpm) […]
Abstract Number: 433
SHM Converge 2023
Case Presentation: A 65-year-old man with a history of nasal polyps was admitted to the hospital with a lactate of 10 mmol/L (0.5-2.2 mmol/L). He reported drenching night sweats and a 10-pound weight loss over the last 2-3 months. He noted orthostatic and ambulatory dizziness, as well as left-sided tinnitus, sinus pain, and nosebleeds over […]
Abstract Number: 434
SHM Converge 2023
Case Presentation: A 67 year-old woman presented with six weeks of worsening disorientation. Her husband reported severe insomnia, abnormal behaviors, decreased short-term memory, and very labile mood. She had a history of well-controlled bipolar disorder on chronic lithium therapy. She had a forty pack-year smoking history. She was diagnosed with a urinary tract infection and […]
Abstract Number: 435
SHM Converge 2023
Case Presentation: A 24-year-old male with a history of acute pancreatitis three months prior, presented with sharp peri-umbilical and right upper quadrant abdominal pain for three weeks. He endorsed fevers, rigors, jaundice, nausea, vomiting, poor appetite, and dark colored urine. He denied hematemesis, melena or hematochezia. He had intermittent alcohol use but no illicit drug […]
Abstract Number: 436
SHM Converge 2023
Case Presentation: A 43-year-old male presented to the emergency room with dry mouth and fever. The patient endorsed pain and dryness when eating solid foods. He noted 40 pounds of unintentional weight loss over 1 month. He had a 30 pack-year smoking history but reported no alcohol or illicit drug use. He did not take […]
Abstract Number: 437
SHM Converge 2023
Case Presentation: Patient is a 71-year-old female who presented to the emergency department due to outpatient labs showing a significant anemia. Her primary complaint was a worsening feeling of generalized weakness over the last four weeks. She denied blood in her stool or urine, or any history of bleeding or clotting disorders. She was found […]
Abstract Number: 438
SHM Converge 2023
Case Presentation: A 75-year-old male with a history of type 2 diabetes mellitus, atrial fibrillation and hypertension presents to the hospital for evaluation of generalized weakness. He was found to have significant anemia with hemoglobin of 6.5 g/dL. He has had multiple admissions for anemia, and in the last year has required over twenty blood […]
Abstract Number: 439
SHM Converge 2023
Case Presentation: We report a case of a 49-year-old Caucasian male presenting with sudden chest pain worsened by inspiration. Patient reports Birt-Hogg-Dubé Syndrome (BHDS) diagnosis via skin biopsy 5 years ago. Examination is significant for 2-4 mm flesh-colored, dome-shaped papules on the head and neck. No murmurs, chest wall tenderness, wheezing or rhonchi were appreciated. […]
Abstract Number: 440
SHM Converge 2023
Case Presentation: A 27-year-old gentleman with no significant past medical history presented to our hospital with five days of persistent fevers with night sweats, sore throat, headache, vomiting, and neck pain. Upon initial evaluation, his temperature was 38.4° Celsius, heart rate of 130 beats/min, blood pressure of 126/78 mm of Hg, respiratory rate of 18 […]
Abstract Number: 441
SHM Converge 2023
Case Presentation: A 24 year old male with a history of childhood asthma and COVID in 2021 presented to ED with worsening sore throat, fevers, tenderness of his mouth and gums, and mild lightheadedness. He was recently diagnosed with streptococcal pharyngitis and started on oral penicillin three days prior to presentation. He was on no […]