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Meeting
Search Results for CT
Abstract Number: 807
SHM Converge 2023
Case Presentation: A 79-year-old man with a past medical history of hypertension and hyperlipemia presented with abdominal pain and fever for two weeks. On physical examination, the temperature was 37.4 C (99.3F), heart rate was 78 beats per minute, respiratory rate was 16 per minute, and blood pressure was 176/81. There was tenderness in the […]
Abstract Number: 810
SHM Converge 2023
Case Presentation: A 68-year-old patient with history of type 2 diabetes (A1c 9.5%) was admitted to the podiatry service following a partial fifth ray resection for osteomyelitis. Bone cultures grew MRSA and ID recommended 6 weeks of IV daptomycin due to an allergy to vancomycin. His post-op course was complicated by multiple days of recurrent […]
Abstract Number: 811
SHM Converge 2023
Case Presentation: 75 y/o F with metastatic anal cancer to lungs status post right lung lobectomy on leucovorin, oxaplatin and fluorouracil every 2 weeks, HTN and SLE presents with a 3-day history of weakness, sore throat, and mouth sores. Pt was in the Dominican Republic for 10 days and upon return, endorsed fatigue and sore […]
Abstract Number: 812
SHM Converge 2023
Case Presentation: A 34-year-old male with a history of opioid use disorder (OUD) was admitted after being found down secondary to heroin overdose. He was given 4 mg naloxone in the field with improvement in Glasgow Coma Score from 3 to 12. After naloxone administration, he was tachycardic, tachypneic, hypertensive, and agitated. He reported taking […]
Abstract Number: 814
SHM Converge 2023
Case Presentation: A 34-year-old man with hypertension on chlorthalidone and recent COVID-19 infection treated with Paxlovid presented to the ED with three days of shortness of breath, dizziness, and diarrhea. On exam, he was alert, neurologically non-focal, and underweight by BMI. Initial lab work was significant for severe hyponatremia (< 100 mmol/L) and hypokalemia (2.3 […]
Abstract Number: 815
SHM Converge 2023
Case Presentation: A 48-year-old female was referred to Neuromuscular Medicine (NMM) for left-sided spasticity. She has a past medical history of low back pain, opioid addiction, and constipation. The patient in early 2022 had a right cerebral artery (RCA) aneurysm and underwent surgical clipping. She experienced a right hemispheric ischemic stroke postoperatively, which caused left […]
Abstract Number: 816
SHM Converge 2023
Case Presentation: A 58-year old male with no self-reported history presented to the hospital with hematochezia. Digital rectal exam revealed external hemorrhoids, shallow anal ulcers, a palpable internal rectal mass and frank blood. During his hospital course he required multiple blood transfusions for hemoglobin levels of 5-6 g/dL with ongoing rectal bleeding. CT and MRI […]
Abstract Number: 818
SHM Converge 2023
Case Presentation: An 87-year-old man presented to the emergency room for exertional dyspnea, productive cough, and generalized weakness progressive over the past month. Four weeks prior he was hospitalized for community-acquired pneumonia and received a 10-day course of a third-generation cephalosporin with minimal improvement. He continued to have a productive cough and exertional shortness of […]
Abstract Number: 832
SHM Converge 2023
Case Presentation: A 56-year-old man with elephantiasis nostras verrucosa (ENV) was admitted to the hospital for fevers due to sepsis from lower extremity cellulitis. On exam, he was febrile to 102.1°F with HR 98 and BP 103/65. Cardiopulmonary exam was unremarkable. Malodorous indurated 2cm-thick brown plaques, embedded with gray and yellow debris, covered his feet […]
Abstract Number: 838
SHM Converge 2023
Case Presentation: A 35-year old male with a PMH of homelessness and methamphetamine use presented to the ED in October 2022 for “flu-like symptoms” including chills, headache, congestion, abdominal pain and nausea/vomiting. He tested positive for influenza B and was admitted for symptomatic treatment and disposition planning. In reviewing his chart, it was apparent that […]