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Abstract Number: 688
ACUTE C3 GLOMERULONEPHROPATHY WHILE ON IMMUNOSUPPRESSIVE THERAPY FOR BULLOUS PEMPHIGOID
SHM Converge 2023
Case Presentation: 70-year-old female with ILD and bullous pemphigoid (BP) on mycophenolate mofetil and prednisone initially presented to emergency room for hematuria and chills, where she was found to have elevated creatinine of 1.25 mg/dL (baseline creatinine 0.4 mg/dL) and prescribed a course of ciprofloxacin for hemorrhagic cystitis. She was admitted three days later due [...]
Abstract Number: 689
TROUBLING LABS – IT’S ALL IN-VEIN!
SHM Converge 2023
Case Presentation: 80 y.o. female with a history significant for hypertension and hyperlipidemia who presented to the Emergency Department for abnormal blood work. Patient had been in her usual state of health but had noticed a dark color to her urine and a yellow tinge to her eyes.On review of her blood work she was [...]
Abstract Number: 690
IMMUNE CHECK POINT INHIBITOR INDUCED MYASTHENIA GRAVIS
SHM Converge 2023
Case Presentation: A 66 year old female with a past medical history significant for metastatic melanoma undergoing immunotherapy with ipilimumab (treatment start date three weeks prior) and nivolumab, poorly controlled T2DM, abnormal liver function tests, and hyperlipidemia who initially presented to an urgent care, presents to the emergency department with double vision and difficulty swallowing. [...]
Abstract Number: 691
TAP INTO IT: A RARE CASE OF PRIMARY PERITONEAL CARCINOMATOSIS
SHM Converge 2023
Case Presentation: We present the case of a 67-year-old female with a history of GERD, diabetes, and remote breast cancer treated with lumpectomy, radiation, and tamoxifen who presented with one-month of persistent abdominal distension associated with anorexia, nausea, vomiting, and shortness of breath. In addition, she had one episode of severe epigastric pain that radiated [...]
Abstract Number: 692
AN UNCOMMON CASE OF FOCAL SEIZURES MANIFESTING AS EPISODIC APHASIA
SHM Converge 2023
Case Presentation: A 75-year-old male presented to the Emergency Room for progressive altered mental status, speech difficulty, and generalized weakness over several days. He also reported a couple days of polyuria and polydipsia. Past medical history included Non-Insulin Dependent Diabetes Mellitus and Hypertension. Initial vital signs were within normal limits. General physical exam was unremarkable, [...]
Abstract Number: 693
HASHIMOTO’S THYROIDITIS ASSOCIATED WITH RHABDOMYOLYSIS AFTER INFECTION WITH COVID19
SHM Converge 2023
Case Presentation: This abstract discusses the inpatient care of a 74 year-old female who had three hospital admissions throughout 2022 with a detailed focus on the second admission. According to the patient’s discharge summary from her first admission, she was diagnosed with severe rhabdomyolysis (secondary to statin use) and acute renal failure requiring outpatient hemodialysis. [...]
Abstract Number: 694
FIDO LARYNGITIS: A CASE OF DOG INDUCED ODYNOPHAGIA
SHM Converge 2023
Case Presentation: Pasteurella multocida is a classic infectious agent associated with dog and cat bits, with infections more commonly identified in the elderly, very young or immunocompromised. The proportion of American households with pets is increasing which in specific populations has been associated with health benefits, but little data exists towards risks.A 73-year-old female with [...]
Abstract Number: 695
NEUROLEPTIC ASSOCIATED MYOCLONUS WITHOUT RHABDOMYOLYSIS
SHM Converge 2023
Case Presentation: A 58-year-old male with a history of chronic anemia and schizophrenia presented to the emergency department (ED) from home for seven days of worsening COVID-19 respiratory disease. He was admitted for hypovolemic shock and non-ST-segment elevation myocardial infarction (NSTEMI). His home dose of haloperidol 5 mg daily and 20 mg nightly was continued. [...]
Abstract Number: 696
THICKER THAN WATER: A RARE CASE OF HYPERVISCOSITY SYNDROME
SHM Converge 2023
Case Presentation: A 19-year-old female with no significant past medical history presented to our center with recurrent unprovoked epistaxis episodes, gingival bleeding, a non-pruritic lower extremity rash, and fifteen-pound weight loss over three months. She reports associated episodes of headaches and dizziness; however, denied oral ulcers, joint swelling or pain, muscle pain or weakness, Raynaud’s [...]
Abstract Number: 697
VEXAS SYNDROME: CAUSING A FLUID WAVE
SHM Converge 2023
Case Presentation: A 76 year old male without any significant past medical history presented to the emergency department with abdominal pain, night sweats, and a fever for a week. He was found to have a mild macrocytic anemia (Hgb 9.9, MCV 105.4) with a normal B12 and folate, and elevated inflammatory markers (CRP 24, ESR [...]
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