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Abstract Number: 866
SHM Converge 2023
Case Presentation: A 15 year-old male with no significant medical history presented with fever, fatigue, headache, and neck pain with stiffness. His symptoms began several days prior to presentation and progressed to inability to fully move his neck, throat and jaw pain, and cognitive slowing. In the ED he underwent evaluation for infection and meningitis. […]
Abstract Number: 868
SHM Converge 2023
Case Presentation: A 9-year-old male with congenital Horner’s syndrome presented with two weeks of nonspecific, intermittent symptoms beginning with a nonproductive cough, congestion, nausea and vomiting followed by a diffuse maculopapular erythematous rash on his back and chest with RUQ pain. Soon after, he developed a separate warm, erythematous, tender rash of the left leg […]
Abstract Number: 869
SHM Converge 2023
Case Presentation: An 11-year-old female with history of T4 paraplegia after an MVC requiring extensive intrabdominal surgical intervention, neurogenic bowel and bladder and malnutrition presented to the ED with intractable vomiting and left shoulder pain. Acute vomiting started earlier in the day while she was being straight catheterized as per routine and continued throughout the […]
Abstract Number: 870
SHM Converge 2023
Case Presentation: A 3-year-old male with past medical history of mild persistent asthma and allergic rhinitis presented with persistent hypoxia. He had a history of multiple prior hospitalizations for hypoxia, mainly in the setting of acute respiratory illness. At an outpatient cardiology visit, he was found to be hypoxic to 87%, though echocardiography was unrevealing […]
Abstract Number: 871
SHM Converge 2023
Case Presentation: A two–year-old previously healthy boy presented with the chief complaint of acute onset left-sided weakness in the setting of recent fever and upper respiratory symptoms. Admission exam was notable for left-sided facial droop, weakness of upper and lower extremities, and inability to walk. Initial CT head was notable for a right basal ganglia […]
Abstract Number: 872
SHM Converge 2023
Case Presentation: A 15-year-old female with a past medical history of acne vulgaris on topical Dapsone and anxiety on Sertraline presented to the ER with severe shortness of breath. She was recently hospitalized for a left knee meniscal repair one month prior. She went to a theme park on the day of admission where she […]
Abstract Number: 873
SHM Converge 2023
Case Presentation: A previously healthy 4-month-old male was admitted with vomiting, diarrhea and dehydration associated with COVID-19 infection. Three days prior to admission he developed fever to 102.1, cough, and was seen in an urgent care where he tested positive for COVID-19. Forty-eight hours prior to admission non-bloody diarrhea began with multiple episodes per day. […]
Abstract Number: 874
SHM Converge 2023
Case Presentation: A 19-year-old male with a history of trauma, depression, anxiety, foster system placement, and poorly controlled type 1 diabetes mellitus (T1DM) (A1C>14) with frequent admissions for diabetic ketoacidosis (DKA) presented with presyncope and 2 weeks of severe epigastric and RUQ abdominal pain. He endorsed inconsistent insulin use and frequent dietary indiscretion in part […]
Abstract Number: 875
SHM Converge 2023
Case Presentation: A 71-year-old male with a PMH of CKD stage 3, CAD, BPH, atrial fibrillation, and diabetes mellitus presented to the ER for left foot swelling for the past 2-3 weeks. He had a history of left foot infection requiring debridement and skin grafts. Patient had recently tried a course of doxycycline and Keflex […]
Abstract Number: 876
SHM Converge 2023
Case Presentation: A 7 year-old with hypohidrotic ectodermal dysplasia (ED) and recurrent sinusitis was admitted with diplopia, headaches, and fevers. In the preceding 2 months, he had multiple episodes of fever, nasal impetigo, and positive group A strep (GAS) throat swabs without pharyngitis. He was treated twice with azithromycin due to allergies to amoxicillin, cephalosporins, […]