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Abstract Number: 418
SHM Converge 2023
Background: Nearly 80% of adults will experience non-specific low back pain at some point in their life.(1) In the absence of concerning features such as saddle anesthesia, imaging studies are not indicated and can lead to a downstream cascade of services which can result in undue physical, emotional, and financial harm to the patient.(2-6) As […]
Abstract Number: 426
SHM Converge 2023
Case Presentation: Pharyngeal pain is typically associated with upper respiratory tract pathology; rarely is it considered the initial presentation of acute coronary syndrome (ACS). Delayed diagnosis and treatment of ACS in such cases can lead to poor patient outcomes and increased mortality (1). A 76-year-old male with a medical history of benign prostate hyperplasia and […]
Abstract Number: 445
SHM Converge 2023
Case Presentation: A 78-year-old female with a history of CAD, hypertension, and asthma presented to the ED with fatigue, abdominal pain, diarrhea, and decreased urine output for three days. She recently returned from Southern France where she had overexerted herself in the heat. She was ill-appearing. Vital signs and exam were normal. Significant labs/imaging: Na […]
Abstract Number: 450
SHM Converge 2023
Case Presentation: 74 year old female with past medical history of end stage renal disease on hemodialysis, hypothyroidism and atrial fibrillation on anticoagulation therapy with Apixaban presented to emergency department (ED) after an episode of near-syncope following her dialysis session. In the ED she was hypotensive and tachycardic. Electrocardiogram findings showed Atrial fibrillation(AF) with rapid […]
Abstract Number: 487
SHM Converge 2023
Case Presentation: A 61 year old male with a past medical history of hypertension, hyperlipidemia, and obstructive sleep apnea presented to the hospital with fever. He reported 1 week of fever to 103 F with associated rigors, abdominal pain, confusion, and decreased urine output. He reported a keen interest in outdoor activities such as hiking. […]
Abstract Number: 502
SHM Converge 2023
Case Presentation: A 27-year-old male with a past medical history of HIV, poorly adherent to antiretroviral therapy (ART), presented with a 1-month history of worsening lower back pain. Pain was described as 10/10 in intensity, radiated to upper back, unrelieved by Ibuprofen, aggravated by lying flat and associated with a frontal headache. He denied fever, […]
Abstract Number: 519
SHM Converge 2023
Case Presentation: A 54-year-old female with a history of alcohol abuse and anxiety was admitted for 1 month of progressive altered mental status preceded by visual hallucinations. Over that time period, her symptoms rapidly progressed to agitation, dementia, and personality change. Physical symptoms included left elbow rigidity, startle myoclonus, and gait ataxia. Laboratory workup was […]
Abstract Number: 614
SHM Converge 2023
Case Presentation: A 63-year-old male with past medical history of hyperlipidemia and diabetes mellitus presented to an outside hospital with diplopia and new onset weakness, paresthesia, and numbness in bilateral lower extremities three days following a mild viral infection. The patient was discharged after two days without acute intervention following extensive negative workup including imaging, […]
Abstract Number: 618
SHM Converge 2023
Case Presentation: A 55-year-old female with a past medical history of stage IV intranasal mucosal melanoma (status post resection of the nasopharynx, medial maxilla, floor of the sphenoid sinus, and clivus – two years prior) and current use of nivolumab presented to the hospital with two weeks of a worsening, pressure-like right temporal headache and […]
Abstract Number: 639
SHM Converge 2023
Case Presentation: A 40-year-old female with a history of morbid obesity status post Roux-en-Y gastric bypass in 2009 presented to hospital with blood glucose level of 33. She reported hypoglycemic episodes every day since 2007 with prior labs demonstrating elevated insulin and low c-peptide levels. The differential diagnoses included exogenous administration of insulin, given she […]