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Search2020-05-20T12:01:36-05:00
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Search Results for Adrenal Insufficiency
Abstract Number: O2
PEMBROLIZUMAB-INDUCED ADRENAL INSUFFICIENCY MASKED AS FAILURE TO THRIVE
SHM Converge 2022
Case Presentation: A 73-year-old woman with past medical history of metastatic endometrial adenocarcinoma previously treated with Pembrolizumab (stopped 4 months prior) presented with six weeks of persistent fatigue, myalgias, nausea, and vomiting. On presentation, she was noted to be hypotensive with labs notable for hyponatremia and hypomagnesemia. She appeared lethargic with dry mucous membranes and […]
Abstract Number: D37
A “SHOCKING” CASE OF IMMUNE CHECKPOINT INHIBITOR-ASSOCIATED PRIMARY ADRENAL INSUFFICIENCY
SHM Converge 2022
Case Presentation: An 81-year-old woman with a pertinent history of primary hypothyroidism and lung adenocarcinoma, treated with durvalumab, was admitted to the hospital in shock after being found lethargic, hypotensive, and hypoxic at home.Prior to admission, she developed weakness, fatigue, anorexia, vomiting, and diarrhea. She had recently been hospitalized with presumed septic shock attributed to […]
Abstract Number: G45
NIVOLUMAB INDUCED HYPOPHYSITIS IN RENAL CELL CARCINOMA
SHM Converge 2022
Case Presentation: A 68-year-old male presented to the hospital with declining mental status. His chronic medical conditions included stage IV renal cell carcinoma on nivolumab maintenance therapy, type II diabetes mellitus, chronic kidney disease, hypothyroidism on levothyroxine 150 mcg, and long-term opioid therapy for malignancy pain. He had a one-week duration of upper abdominal pain […]
Abstract Number: M29
OPIOID-INDUCED CENTRAL ADRENAL INSUFFICIENCY PRESENTING AS FEVER OF UNKNOWN ORIGIN
SHM Converge 2022
Case Presentation: Central Adrenal Insufficiency (CAI) is a rare and often late diagnosis due to nonspecific signs, such as fatigue, hyponatremia, electrolyte abnormalities and fever of unknown origin (FUO). CAI suspicion arises in patients with pituitary tumors, cranial irradiation, surgery, injury, infection, exogenous glucocorticoid withdrawal, and less commonly known, opioid use disorder. A 31-year-old male […]
Abstract Number: M33
PEMBROLIZUMAB INDUCED ISOLATED ACTH DEFICIENCY
SHM Converge 2022
Case Presentation: A 71 year old male with a history of COPD, Hypothyroidism and Stage IIIA Lung Cancer status post wedge resection and prior treatment with chemotherapy and radiation currently on Pembrolizumab who presented with a two week history of fatigue. He denied any recent steroid use. Physical exam revealed hypotension and blood pressures dropping […]
Abstract Number: P40
SHOCK AND H-P-AWE: AN ACUTE PRESENTATION OF OPIOID INDUCED ADRENAL INSUFFICIENCY
SHM Converge 2022
Case Presentation: A 19-year-old female with a history of opioid use disorder (OUD) presented to the Emergency Department with abdominal pain, fever, and severe hypotension several days after relapsing with intravenous heroin following two years of successful maintenance on buprenorphine. She was admitted to the intensive care unit for treatment of severe sepsis including broad-spectrum […]
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  • A CASE OF SKIN NECROSIS CAUSED BY INTRAVENOUS XYLAZINE ABUSE
  • BLOWING SMOKE: VAPING-ASSOCIATED LUNG INJURY PRESENTING AS ABDOMINAL PAIN
  • Cannabis Withdrawal Induced Hypertensive Urgency
  • A Patient’s Presentation of Persistent Sweet Taste in Her Mouth Leads to a Diagnosis of Small Cell Lung Cancer
  • ADDERALL INDUCED ISCHEMIC COLITIS
  • This Month

  • A CASE OF SKIN NECROSIS CAUSED BY INTRAVENOUS XYLAZINE ABUSE
  • BLOWING SMOKE: VAPING-ASSOCIATED LUNG INJURY PRESENTING AS ABDOMINAL PAIN
  • A Patient’s Presentation of Persistent Sweet Taste in Her Mouth Leads to a Diagnosis of Small Cell Lung Cancer
  • Cannabis Withdrawal Induced Hypertensive Urgency
  • ADDERALL INDUCED ISCHEMIC COLITIS
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  • PECULIAR PRESENTATION OF VERTIGO IN HYPOTHYROIDISM
  • ADDERALL INDUCED ISCHEMIC COLITIS
  • Bc Powder Causing Intracerebral Bleed: Pitfalls of Overlooking Dosage of Seemingly Innocuous Otc Formulations
  • RECOGNIZING S1Q3T3 FOR WHAT IT IS: A NONSPECIFIC PATTERN OF RIGHT HEART STRAIN
  • A Newborn with Bilateral Shoulder Dimples: Case Report and a Review of Literature
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