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Abstract Number: 877
SHM Converge 2023
Case Presentation: A previously healthy 5-year-old female was transferred to our facility for increasing respiratory distress in the setting of a COVID-19 infection with suspected secondary bacterial pneumonia. Approximately five days prior, she tested positive for COVID-19 after developing a cough. She was treated with supportive therapy until parents noticed her “breathing heavily.” At the […]
Abstract Number: 878
SHM Converge 2023
Case Presentation: A 14-year-old female with a history of hydrocephalus status-post ventriculoatrial (VA) shunt placement five years prior presented for acute lethargy characterized by difficulty waking her from sleep. Vital signs were T 36.6 C, pulse 72, respirations 20, BP 148/97, and SpO2 100% with exam notable for lethargy, spontaneous eye and limb movement, pupils […]
Abstract Number: 879
SHM Converge 2023
Case Presentation: KM is a 13-year-old woman with no past medical history who presented with 1 week of daily vomiting, epigastric abdominal pain, and body aches. On review of systems has also had fever to 100.7, decreased oral intake, shortness of breath with activity and intermittent diarrhea but no headache, sore throat, wheezing or rash. […]
Abstract Number: 880
SHM Converge 2023
Case Presentation: A 19-year-old male with history of VACTERL, end-stage kidney disease with kidney transplant 7 years prior, scoliosis with T8-L2 fusion 8 years prior, reversible posterior leukoencephalopathy syndrome (PRES), depression, and recent admission for suspected cannabinoid hyperemesis syndrome presented to the ED after a fall due to weakness, and recurrent nausea and vomiting.Physical exam […]
Abstract Number: 881
SHM Converge 2023
Case Presentation: A previously healthy, obese 15-year-old male presented to an ED in North Carolina with acute encephalopathy preceded by six days of flu-like symptoms with one day of diarrhea and cough. On presentation, he was febrile, tachycardic, tachypneic, with other vital signs normal. He was disoriented with slowed speech, inappropriate laughter, and delayed verbal […]
Abstract Number: 882
SHM Converge 2023
Case Presentation: A 14-year-old healthy male presented with throbbing, right sided abdominal pain, intermittent headache, and bilateral neck and shoulder pain in the setting of six days of fever (temperature max 103° F). He had a history of a normal endoscopy after elevated stool calprotectin that normalized without intervention. Exposure history was notable for freshwater […]
Abstract Number: 883
SHM Converge 2023
Case Presentation: A 17-year-old female with a past medical history of allergic rhinitis presents as transfer from an outside hospital for hemoptysis and chest pain. She reports three episodes of ¼ cup worth of bright red blood occurring within the last six months. No reported triggers and no history of trauma, smoking, vaping, lung or […]
Abstract Number: 884
SHM Converge 2023
Case Presentation: A 14-year-old male with autism spectrum disorder presented with history of 5 days of refusal to move and imbalance for 2 days, following diarrheal illness two weeks prior. On admission, he was tachycardic and hypertensive with dry mucous membranes. His neurologic exam was limited by agitation but demonstrated symmetric facies and 5/5 strength […]
Abstract Number: 885
SHM Converge 2023
Case Presentation: A 9 month old boy was brought to the emergency department for two day history of right arm edema and refusal to move his right arm. He began having rhinorrhea and cough earlier in the week then developed non-bloody diarrhea. During that time period he had fevers up to 102.5 that responded to […]
Abstract Number: 886
SHM Converge 2023
Case Presentation: A five year old male presents to the emergency department with abdominal pain and emesis. Labs were significant for hyponatremia, elevated alkaline phosphatase, mild hyperproteinemia, and leukocytosis with neutrophilia. Urinalysis showed ketones present. A plain film of the kidneys, ureter, and bladder showed distension of the transverse colon and stool in the rectum. […]