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Abstract Number: K28
WHEN EYES GIVE YOU LEMONS, CONSIDER ADDING LYME
SHM Converge 2022
Case Presentation: A 75 YO woman with HTN presented to her optometrist with a one-week history of painless, blurred vision in her left eye. Her history was notable for a febrile illness without rash 2 months prior. She was advised to go to the ED where MRI and CT imaging showed no acute abnormalities and [...]
Abstract Number: K29
HOOVER THE LEGS TO “CLEAN OUT” A CONVERSION DISORDER DIAGNOSIS
SHM Converge 2022
Case Presentation: A 20-year-old Caucasian male presents to the emergency department (ED) with acute onset of right leg weakness and lower back pain. Apart from two prior visits to the ED for atypical chest pain and mild traumatic right foot pain, his past medical history is unremarkable, and no other neurological symptoms are revealed. There [...]
Abstract Number: K30
ABDOMINAL DISTENTION, FATIGUE, AND LOWER EXTREMITY EDEMA IN A HEALTHY YOUNG MALE: A CASE OF HHV8-NEGATIVE MULTICENTRIC CASTLEMAN’S DISEASE
SHM Converge 2022
Case Presentation: A previously healthy 32yo male presented to the hospital with bilateral lower extremity swelling and abdominal distention. Three months prior he had sought care for abdominal pain and fatigue. There was interval improvement for approximately one month without intervention, however, he subsequently developed night sweats, fatigue, and malaise for which he was treated [...]
Abstract Number: K31
TYPHOID FEVER AND COVID-19: MASQUERADING DIAGNOSES IN THE ERA OF MASKS
SHM Converge 2022
Case Presentation: A 21-year-old male with no past medical history presented to the hospital in October 2020 with over a week of abdominal pain, fever, cough, and congestion. The patient noted that these symptoms had persisted despite taking Augmentin for presumed sinusitis. He had a negative COVID-19 test 4 days prior to admission and no [...]
Abstract Number: K32
SUBACUTE ONSET OF GUILLAIN BARRE SYNDROME POST MRNA-1273 VACCINATION
SHM Converge 2022
Case Presentation: 49-year-old female with past medical history of hypertension & bipolar disorder presented to hospital with complaints of worsening weakness involving her lower extremities for 8 weeks. The weakness began 10 days after receiving the first dose of mRNA-1273 (Moderna Vaccine). Her weakness started in her bilateral feet, gradually ascended up to involve waist [...]
Abstract Number: K33
IMMUNE RECONSTITUTION INFLAMMATORY SYNDROME LEADING TO DIFFUSE, PUSTULAR PSORIASIS
SHM Converge 2022
Case Presentation: A 35-year-old man with a history HIV/AIDS with a CD4 count 60 and recently treated secondary syphilis presented for acute worsening of chronic rash after restarting Biktarvy. Exam found eruptive, generalized exanthem characterized by oval-shaped, pink, scaly plaques and papules with prominent flexural involvement. The initial differential diagnosis included disseminated bacterial or fungal [...]
Abstract Number: K34
A PECULIAR CASE OF ASYMPTOMATIC MYOPERICARDITIS
SHM Converge 2022
Case Presentation: A 21 year-old man with a history of schizophrenia presented with elevated troponin and C- reactive protein found on outpatient labs. A month prior, the patient was hospitalized due to behavioral disturbances and suicidality. His medication regimen at that time included trazodone, clonazepam, and clozapine, the latter was increased from 75 mg to [...]
Abstract Number: K35
FROM THE PROSTATE TO THE HEART: A RARE CASE OF ESCHERICHIA COLI ENDOCARDITIS
SHM Converge 2022
Case Presentation: The patient is a 74 year-old male. He has chronic lymphocytic lymphoma, renal cell carcinoma treated with partial left nephrectomy a year ago, cryptogenic organizing pneumonia (on prednisone 15 mg daily), benign prostate hyperplasia, coronary artery disease, hypertension, hyperlipidemia, and gout.He presented with shaking chills and fever for 1 day duration. The symptoms [...]
Abstract Number: K36
A CASE OF HEMORRHAGIC PERICARDIAL EFFUSION WITH EARLY SIGN OF TAMPONADE IN SARS-COV-2
SHM Converge 2022
Case Presentation: A 76-year-old Hispanic male with a past medical history of well-controlled hypertension, Pre-diabetes, class 3 obesity, unprovoked Deep vein thrombosis (DVT) progressing to pulmonary embolism (PE) diagnosed 6 months ago, treated with apixaban, presented to the ED with 2 weeks history of progressively worsening dyspnea, dry cough and orthopnea. Denies any chest pain, [...]
Abstract Number: K37
ALTERED MENTAL STATUS IN AN ELDERLY WOMAN, MUST BE THE URINARY TRACT INFECTION, OR IS IT?
SHM Converge 2022
Case Presentation: An 80-year-old female with past medical history significant for atrial fibrillation on apixaban, coronary artery disease, heart failure with preserved ejection fraction, Grave’s disease s/p thyroidectomy on vitamin D, calcium and levothyroxine supplements, and diabetes mellitus presented with 1 week of malodorous urine and 3 weeks of auditory and visual hallucinations. She reported [...]
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