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Abstract Number: 628
SHM Converge 2023
Case Presentation: A 64-year-old woman with a past medical history of hypertension, hyperlipidemia, depression, obesity, and endometrial carcinoma (EC) presented with two new lung nodules measuring 8 mm x 9 mm in the right lower lobe and 4 mm x 4 mm in the left upper lobe on surveillance positron emission tomography – computerized tomography, [...]
Abstract Number: 629
SHM Converge 2023
Case Presentation: Our patient is a 66-year-old man, a former 100-pack year smoker, with a history of hypertension, gastroesophageal reflux, emphysema, who was diagnosed in September of 2019 with stage IV squamous cell lung cancer (PD-L1 0%). He was initiated on concurrent radiation with carboplatin and nab-paclitaxel. He had a partial response to this treatment [...]
Abstract Number: 630
SHM Converge 2023
Case Presentation: A 70-year-old man presented with acute on chronic cough, dyspnea, chills, and pleuritic chest pain. The patient had returned from Jerusalem four months prior, where he participated in multiple large religious gatherings. Since his travels, the patient also reported weight loss and decreased appetite, with months of cough and sneezing. Vitals included a [...]
Abstract Number: 631
SHM Converge 2023
Case Presentation: A 30 y/o man presented to the ED with complaints of unresolved monkeypox lesions. Along with this recent diagnosis of monkeypox with TPOXX treatment failure, he has a past medical history significant for advanced HIV/AIDS with CD4< 2 at admission on Bactrim prophylaxis, resolved Campylobacter infection, and chronic normocytic anemia. A month prior, [...]
Abstract Number: 632
SHM Converge 2023
Case Presentation: Our patient is an 83 year old female with medical history of right breast cancer treated with lumpectomy and chemo-radiation 12 years ago. She presented with complaints of generalized weakness and confusion for 5 days. On admission, labs were significant for elevated calcium level of 17.2 mg/dL, white blood cell count (WBC) of [...]
Abstract Number: 633
SHM Converge 2023
Case Presentation: A 57-year-old man with congestive heart failure and coronary artery disease presented with shortness of breath of two days duration. He denied fevers, chills, chest pain, or cough. Presenting vitals were significant for oxygen saturation of 80%, requiring. All other vitals were within normal limits. Physical exam was unremarkable. His labs were significant [...]
Abstract Number: 634
SHM Converge 2023
Case Presentation: 59 year-old female with past history of uncontrolled asthma with multiple exacerbations requiring systemic corticosteroids, and recurrent episodes of non-traumatic rhabdomyolysis, presented with muscle aches. On exam, patient was hemodynamically stable and afebrile, with bilateral upper and lower extremity tenderness. Laboratory analysis was concerning for elevated creatinine kinase levels of 1127 U/L. Complete [...]
Abstract Number: 635
SHM Converge 2023
Case Presentation: A 66 year old female with a past medical history of hypertension, heart failure and atrial fibrillation presented with severe lumbar back pain that began 2 weeks prior. She was writhing in pain and described the pain as throbbing, rating it a 10/10. The pain radiated down her thighs but spared her calves [...]
Abstract Number: 636
SHM Converge 2023
Case Presentation: This case describes a 63-year-old male who was recently diagnosed with renal cell carcinoma with metastasis to the lungs confirmed with a biopsy showing diffuse PAX-8 positivity on an immunohistochemical staining panel favoring renal origin. He was started on Nivolumab/Ipilimumab however was hospitalized in the intensive care unit for septic shock due to [...]
Abstract Number: 637
SHM Converge 2023
Case Presentation: A 58-year-old man was brought to the emergency room by his friend for self-neglect. Approximately one year ago, the patient’s mother died. He has been afraid to eat since. Instead, nutritional intake was exclusively liquid and consisted of water, Gatorade and Boost meal supplement. He lost 200 pounds over the past year. Somatic [...]