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Abstract Number: 463
SHM Converge 2023
Case Presentation: A 78-year-old dialysis-dependent man with a history of end stage renal disease, hypertension and cerebrovascular accident was evaluated for diffuse abdominal pain and altered mental status for one day. The examination was pertinent for generalized weakness and altered sensorium. Laboratory tests revealed transaminitis and leukocytosis. Computed tomography (CT) of the abdomen and pelvis […]
Abstract Number: 464
SHM Converge 2023
Case Presentation: 57-year-old male, with history of recurrent idiopathic hypothermic episodes, HFrEF on carvedilol, T2DM on no medication for 3 months, and stage 4 CKD, presented to the ED for altered mentation. Vitals were unremarkable except for hypothermia (86.4°F). Patient was hypoglycemic (62 mg/dL). WBC count was low (1.26 10^3/uL). Urine WBCs were elevated (31-50/HPF). […]
Abstract Number: 465
SHM Converge 2023
Case Presentation: A 36-year-old male with a PMH of alcohol use disorder, recurrent pancreatitis, cholecystectomy, diabetes mellitus type 2, and hyperlipidemia presented to the emergency room for severe epigastric abdominal pain, nausea, and vomiting for 2 days in the setting of heavy alcohol use prior to admission. Vital signs on admission were notable for hypertension. […]
Abstract Number: 466
SHM Converge 2023
Case Presentation: A 38 yo male with PMH of alcohol abuse, motor vehicle collision a year prior to presentation, presented to the ED with back pain. Pt states that had back pain about a year ago right after the motor vehicle collision, which improved after a month. Then in the last 4 weeks, he has […]
Abstract Number: 468
SHM Converge 2023
Case Presentation: A 51-year-old morbidly obese male without any significant past medical history presented to the hospital for evaluation of one month history of worsening dyspnea on exertion associated with orthopnea and PND. He was hemodynamically stable and physical examination revealed 2+ bilateral lower extremity pitting edema. Initial laboratory workup was significant for high-sensitivity troponin […]
Abstract Number: 469
SHM Converge 2023
Case Presentation: A 38-year-old African American female with recurrent oral-genital ulceration deemed of unclear etiology presented to the hospital with acute abdominal pain. Abdominal imaging demonstrated multiple intraabdominal venous thromboses, including hepatic venous involvement and hepatic venous outflow obstruction consistent with Budd-Chiari Syndrome (BCS). Extensive hypercoagulable workup was unremarkable. She was started on anticoagulation but […]
Abstract Number: 470
SHM Converge 2023
Case Presentation: A 79-year-old woman with a past medical history of uncontrolled hypertension, migraine, and chronic kidney disease stage 3 presented with one week of poor oral intake, nausea, vomiting, vague abdominal pain, and chronic nonproductive cough. Physical exam revealed poor skin turgor, and lungs with crackles bilaterally. Laboratory studies showed Creatinine of 5.31 mg/dl […]
Abstract Number: 471
SHM Converge 2023
Case Presentation: A 43-year-old male with human immunodeficiency virus (HIV), off antiretroviral therapy (ART) for 5 years presented to an outside hospital in July 2022 with diffuse umbilicated skin lesions. Skin scrapings for the monkeypox virus PCR were positive. No medications were prescribed. Days later, the patient was admitted to a different hospital with worsening […]
Abstract Number: 472
SHM Converge 2023
Case Presentation: A 65-year-old woman with a history of early-stage breast cancer—was treated six years prior. She was subsequently admitted multiple times over the following years for pancytopenia, which was thought to be multifactorial—due to nonalcoholic steatohepatitis and auto-immune hemolytic anemia (AIHA). Therefore, she received a supportive blood transfusion, intravenous immunoglobulins, and rituximab for suspected […]
Abstract Number: 473
SHM Converge 2023
Case Presentation: An 83-year-old male with a history of renal cell carcinoma s/p nephrectomy, chronic kidney disease, and hypertension presented to the Emergency Department with several weeks of recurring fevers to 103°F, chills, malaise, fatigue, night sweats, anorexia, and an unintentional weight loss of 4.5 kg. He denied arthralgias, myalgias, neurologic symptoms, rashes, diarrhea, or […]