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Search Results for MAT
Abstract Number: 497
SHM Converge 2023
Case Presentation: A 58-year-old woman with multiple sclerosis, neurogenic bladder with indwelling catheter, and recurrent nephrolithiasis presented with worsening malaise and dizziness. Vitals signs were stable and physical exam was remarkable for baseline lower extremity weakness. Blood work identified leukocytosis (14.2 x 109/liter) and severe anemia (6.6 grams/deciliter). Urinalysis showed pyuria and calcium oxalate crystals.CT […]
Abstract Number: 506
SHM Converge 2023
Case Presentation: A 33-year-old G2P1011 woman who was 6 days postpartum from an uncomplicated vaginal delivery presented to the emergency department with acute right flank pain, hypotension (BP 88/60), tachycardia (HR 125) and new onset anemia with hemoglobin 9g/dL. CT abdomen/pelvis (CT AP) revealed a 21.5cm right renal angiomyolipoma (AML) with an associated bleeding pseudoaneurysm […]
Abstract Number: 513
SHM Converge 2023
Case Presentation: A 49-year-old woman of German ancestry without any prior medical history presented to the hospital with complaints of shortness of breath and right lower extremity for 2 weeks. Her examination was notable for tachycardia, notable loud systolic ejection murmur at cardiac apex. Labs revealed mild leukocytosis, elevated D-dimer, BNP, mild hepatocellular transaminitis and […]
Abstract Number: 521
SHM Converge 2023
Case Presentation: An 84-year-old Caucasian male with a history of hyperlipidemia presented to his primary care provider with a 6-week history of an erythematous rash with associated proximal limb weakness but without complaint of breathing or swallowing difficulties. Statin-induced rash with myopathy were suspected so his statin was stopped, and he was referred for skin […]
Abstract Number: 524
SHM Converge 2023
Case Presentation: 72-year-old male with a history of prostate cancer status post prostatectomy, recent diagnosis of pansinusitis and multiple bilateral pulmonary lesions and a mass-like consolidation of the left upper lobe presented complaining of dyspnea. He was receiving treatment for sinusitis and pneumonia with plans for outpatient bronchoscopy to rule out malignancy. On presentation, the […]
Abstract Number: 531
SHM Converge 2023
Case Presentation: We present a case of a 42-year-old woman admitted to the ICU for management of suspected septic shock. She presented with right lower quadrant and back pain for the past day, fever, nausea, and vomiting. Her blood pressure was 70/46 mm of Hg and examination was significant for right lower abdominal quadrant tenderness. […]
Abstract Number: 532
SHM Converge 2023
Case Presentation: A man in his 70s with history of benign prostate hypertrophy, diverticulosis, and polymyalgia rheumatica with previously elevated RF and anti-CCP serologies who first developed sinus symptoms and recurrent pneumonias four years prior to his current presentation. At that time, he had CT chest imaging demonstrate bronchiectasis and spirometry reveal an obstructive ventilatory […]
Abstract Number: 544
SHM Converge 2023
Case Presentation: A 76-year-old white woman with a past medical history of RA, being treated with MTX, sarilumab, and folic acid supplementation, presented to the hospital for worsening pain and lethargy. Physical exam displayed dry mucous membranes, ulcerations throughout the oropharynx, and purple digits from distal interphalangeal joints to the fingernails bilaterally. Additionally, she was […]
Abstract Number: 545
SHM Converge 2023
Case Presentation: Diclofenac is a routinely prescribed non-steroidal anti-inflammatory agent in hospital with well-recognized hepatotoxic potential. However, there are only two reported cases of topical diclofenac-induced liver injury in literature. Herein, we describe a case of a 94-year-old man with Paget’s disease and osteoarthritis, who developed acute hepatotoxicity after four months of application of topical […]
Abstract Number: 560
SHM Converge 2023
Case Presentation: A 55yo woman with no prior history of rheumatologic disease or skin disorders presented to the hospital with erythroderma. Two months prior to presentation, she had a sudden eruption of patchy, erythematous plaques and diffuse scaling of the scalp, face, upper chest, and back. This progressed to involve her entire torso and extremities. […]