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Search Results for MAT
Abstract Number: 433
SHM Converge 2023
Case Presentation: A 65-year-old man with a history of nasal polyps was admitted to the hospital with a lactate of 10 mmol/L (0.5-2.2 mmol/L). He reported drenching night sweats and a 10-pound weight loss over the last 2-3 months. He noted orthostatic and ambulatory dizziness, as well as left-sided tinnitus, sinus pain, and nosebleeds over […]
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: 454
SHM Converge 2023
Case Presentation: A 70-year-old Caucasian woman with history of hypertension, hyperlipidemia, and newly diagnosed atrial fibrillation presented with persistent exertional dyspnea, fatigue, malaise, and anorexia for the past few days. She was recently discharged for community-acquired pneumonia twice at another institution without improvement of nonproductive cough, mild proximal muscle weakness, and exertional dyspnea. She was […]
Abstract Number: 462
SHM Converge 2023
Case Presentation: A 63 year old male with no past medical history was admitted with five months of bilateral upper and lower extremity weakness as well as a pruritic, erythematous rash on his face, arms, and back. This was followed by progressive dysphagia. Initial workup, including a pectoralis muscle biopsy showing necrotizing myopathy, and MRI […]
Abstract Number: 464
SHM Converge 2023
Case Presentation: 57-year-old male, with history of recurrent idiopathic hypothermic episodes, HFrEF on carvedilol, T2DM on no medication for 3 months, and stage 4 CKD, presented to the ED for altered mentation. Vitals were unremarkable except for hypothermia (86.4°F). Patient was hypoglycemic (62 mg/dL). WBC count was low (1.26 10^3/uL). Urine WBCs were elevated (31-50/HPF). […]
Abstract Number: 468
SHM Converge 2023
Case Presentation: A 51-year-old morbidly obese male without any significant past medical history presented to the hospital for evaluation of one month history of worsening dyspnea on exertion associated with orthopnea and PND. He was hemodynamically stable and physical examination revealed 2+ bilateral lower extremity pitting edema. Initial laboratory workup was significant for high-sensitivity troponin […]
Abstract Number: 471
SHM Converge 2023
Case Presentation: A 43-year-old male with human immunodeficiency virus (HIV), off antiretroviral therapy (ART) for 5 years presented to an outside hospital in July 2022 with diffuse umbilicated skin lesions. Skin scrapings for the monkeypox virus PCR were positive. No medications were prescribed. Days later, the patient was admitted to a different hospital with worsening […]
Abstract Number: 476
SHM Converge 2023
Case Presentation: A 79 year old African American female with non-ischemic cardiomyopathy, EF 35-40%, hypertension, chronic kidney disease, hypothyroidism, mild pulmonary hypertension, obesity, and mixed hyperlipidemia, presented with worsening dizziness and bipedal edema for 2 weeks. Patient reported stopping diuretics and carvedilol due to persistent hypotension for several months. Patient noted unintentional weight loss of […]
Abstract Number: 477
SHM Converge 2023
Case Presentation: A 71-year-old male with a history of diabetes, hyperlipidemia, and stage II small cell bladder cancer on cycle 2 of cisplatin, etoposide, and atezolizumab that he received 1 week ago presented with neck stiffness, pain, fevers, and diffuse muscle aches to his PCP. Concerned about meningitis he was sent to the hospital. A […]
Abstract Number: 484
SHM Converge 2023
Case Presentation: A 54-year-old male with no past medical history presented with chief complaint of generalized weakness, fatigue, headache, loss of appetite and intermittent fever and chills for 5 days. On arrival to the ED, his vitals were notable for temperature was 102.3F.. Labs notable for a hemoglobin 12.5 g/dL, platelets 55×109/L, sodium 128 mmol/L, […]