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Abstract Number: H36
SHM Converge 2022
Case Presentation: A 41 year-old female with a history significant for end stage renal disease (ESRD) secondary to focal segmental glomerulosclerosis (FSGS) on peritoneal dialysis for two years, uremic pericardial effusion with pericardiocentesis three years prior, and polyarticular gout on allopurinol presented as a transfer from an outside hospital for evaluation due to concerns for […]
Abstract Number: I46
SHM Converge 2022
Case Presentation: We present a case of 71 year old male with a history of advanced non-small cell lung cancer with metastasis to the brain, recurrent deep venous thrombosis on anticoagulation, and prostatomegaly who was initially admitted for dyspnea and subsequently diagnosed with community acquired pneumonia. His chest x-ray on admission also showed heavy burden […]
Abstract Number: J27
SHM Converge 2022
Case Presentation: The patient is a 49-year-old male with a history of asymptomatic SARS-CoV-2 infection 3 weeks prior who presented to the emergency department complaining of weakness. It began 1 week ago when he woke up with numbness in his bilateral lower extremities (BLE) accompanied by tingling dysesthesias in the toes. His symptoms rapidly evolved […]
Abstract Number: K23
SHM Converge 2022
Background: Chest pain is a common chief complaint among adult patients presenting to emergency departments. An assessment of chest pain management at the institution noted significant variability in provider treatment patterns for chest pain. While a NSTE-ACS protocol existed, there was varied use and inconsistent adoption. Review of pre-intervention data demonstrated that some emergency medicine […]
Abstract Number: K32
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: K40
SHM Converge 2022
Case Presentation: A 64-year-old woman with a history of right kidney transplant and Crohn’s disease in remission presented to the emergency department with five days of severe abdominal pain. Her pain was accompanied by nausea, vomiting, and chills. Physical examination was notable for an abdomen that was distended and diffusely tender to palpation, but not […]
Abstract Number: K48
SHM Converge 2022
Case Presentation: A 42 year-old Caucasian male with a past medical history significant for schizoaffective disorder with command auditory hallucinations, often commanding him to harm himself or others, with multiple suicide attempts by ingestion, and history of poly-substance abuse, was found by his friend on the floor of his apartment, seemingly unconscious, with copious amounts […]
Abstract Number: L24
SHM Converge 2022
Case Presentation: Our vignette is of a 14-year-old female who presented to the emergency room for complaints of right elbow pain and swelling. Patient underwent open reduction internal fixation (ORIF) for right elbow fracture when she was 2-years old. The hardware was removed successfully after the fracture healed. Since then, the patient had 3 fractures […]
Abstract Number: M27
SHM Converge 2022
Case Presentation: A 34 year old male with a medical history of polysubstance abuse and hypothyroidism presented from subacute rehab after a combined thoracolumbar and sacral fixation surgery with worsening generalized weakness. The patient described deconditioning with increased difficulty standing despite 3-4 hours of daily physical therapy. Other acute symptoms included insomnia and mood swings. […]
Abstract Number: M30
SHM Converge 2022
Case Presentation: A 56-year-old man with active polysubstance use disorder including daily intranasal heroin and cocaine use and previous abdominal surgery was admitted with a week of abdominal pain and constipation. His last bowel movement was one week prior to admission, though he did report ongoing flatus without nausea or vomiting. The abdomen was diffusely […]