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Abstract Number: 453
SHM Converge 2023
Case Presentation: A 74 -year-old male with a past medical history of hypertension, hyperlipidemia, benign prostatic hyperplasia, renal cell carcinoma status post right nephrectomy, and peripheral arterial disease, presented to the Emergency Room with 20 days of progressive weakness, shortness of breath, nausea, vomiting, polyuria, polydipsia, and abdominal pain. The patient was vaccinated but not […]
Abstract Number: 454
SHM Converge 2023
Case Presentation: A 70-year-old Caucasian woman with history of hypertension, hyperlipidemia, and newly diagnosed atrial fibrillation presented with persistent exertional dyspnea, fatigue, malaise, and anorexia for the past few days. She was recently discharged for community-acquired pneumonia twice at another institution without improvement of nonproductive cough, mild proximal muscle weakness, and exertional dyspnea. She was […]
Abstract Number: 455
SHM Converge 2023
Case Presentation: A 31-year-old male with past medical history of narcolepsy, migraine, anxiety, depression, and motor tics disorder presented to the hospital complaining of headache, left sided weakness and intermittent left upper extremity paresthesia for 3 days. Physical examination was remarkable for decreased left upper extremity sensation; motor strength was 5/5 in all 4 extremities. […]
Abstract Number: 456
SHM Converge 2023
Case Presentation: A 72-year-old male with diabetes mellitus presented with two-day right eye vision loss and floaters. Vitals showed tachycardia and hypotension. Physical examination was notable for a hypopyon of the right eye and pressure ulcers on the buttocks bilaterally. Labs returned with leukocytosis, lactic acidosis, and acute kidney injury. A maxillofacial CT scan revealed […]
Abstract Number: 457
SHM Converge 2023
Case Presentation: A 50-year-old female with a history of alcohol use disorder presented to the emergency department with a one-day history of unsteady gait, decreased lower extremity sensation, and slurred speech. She reported using 20 whippits (recreational inhaled nitrous oxide) daily for the preceding 3-4 weeks. She denied any dietary restrictions. Exam revealed 3+ patellar […]
Abstract Number: 458
SHM Converge 2023
Case Presentation: A 49-year-old man with uncontrolled diabetes type 2 presented to the hospital for right foot pain of three-weeks duration. He had tachycardia to 102/min, a temperature of 101.3 F, and white blood cell (WBC) count of 26.8 x109 cells/L. An X-Ray of his right foot was consistent with osteomyelitis and necrotizing fasciitis. Two […]
Abstract Number: 459
SHM Converge 2023
Case Presentation: We present a unique case of a 37-year-old male with a recently diagnosed case of monkeypox three weeks prior and completion of Tecoviramat; who at initial presentation was thought to have an infected arteriovenous fistula (AVF) from a pox lesion likely with an abscess or necrotic process. He had a PMHx of HIV […]
Abstract Number: 460
SHM Converge 2023
Case Presentation: Acquired Hemophilia A (AHA) is a rare disease, with 1 to 2 cases per million, and occurs due to production of autoantibodies that inhibit Factor VIII, a vital step of the intrinsic coagulation cascade, resulting in the potential for lethal bleeding. Here we present a case of a 59-year-old woman with history of […]
Abstract Number: 461
SHM Converge 2023
Case Presentation: Stress cardiomyopathy, also known as takutsubo cardiomyopathy, is a syndrome that causes transient cardiac apical akinesis or hypokinesis with concurrent basal hyperkinesis. This phenomenon occurs in the absence of angiographic evidence of obstructive coronary artery disease, often induced by emotional stress, and usually reverses within a few weeks to months. A rare variant […]
Abstract Number: 462
SHM Converge 2023
Case Presentation: A 63 year old male with no past medical history was admitted with five months of bilateral upper and lower extremity weakness as well as a pruritic, erythematous rash on his face, arms, and back. This was followed by progressive dysphagia. Initial workup, including a pectoralis muscle biopsy showing necrotizing myopathy, and MRI […]