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Search Results for MAT
Abstract Number: 670
SHM Converge 2023
Case Presentation: A 33-year-old female with a history of alcohol use and rheumatoid arthritis presented with a 2 day history of sharp, peri-umbilical and left upper quadrant (LUQ) pain. She also reported one month of fevers, night sweats, unintentional 10 Lb weight loss, and a non-productive cough without hemoptysis. She underwent a dental extraction for […]
Abstract Number: 672
SHM Converge 2023
Case Presentation: 67 year old man with a history of psoriasiform dermatitis refractory to dapsone and hydroxychloroquine, thrombotic thrombocytopenic purpura status post plasma exchange and rituximab, and a history of multiple venous thromboemboli, and a fever of unknown origin presented with progressive worsening of his skin lesions. On exam, the patient was febrile (temperature 39.3C), […]
Abstract Number: 675
SHM Converge 2023
Case Presentation: A 52-year-old female with a medical history of chronic sinusitis and recurrent pneumonia secondary to granulomatous disease presents with new onset AKI, worsening fatigue, malaise, weight loss, and transaminitis. She was given Solu-medrol, transitioned to prednisone with improvement. Chest X-ray revealed a patchy airspace opacity in the right middle lobe, concerning for pneumonia […]
Abstract Number: 677
SHM Converge 2023
Case Presentation: Merkel cell carcinoma (MCC) is a rare neuroendocrine malignancy, with high propensity to metastasize and reoccur. It most commonly affects the skin, and seldomly involves internal organs [1]. MCC is a rare entity, with 2488 cases/year in 2013 in the United states and more aggressive than melanoma [1, 2]. Gaining insight into this […]
Abstract Number: 687
SHM Converge 2023
Case Presentation: We present a 69-year-old man with past medical history of well-controlled type 2 diabetes and multiple myeloma status-post chemotherapy (daratumumab, lenalidomide, bortezomib, melphalan) and subsequent bone marrow transplant (BMT) who presented with subacute progressive bilateral numbness and weakness in his upper and lower extremities and was found to have acute inflammatory demyelinating polyneuropathy.His […]
Abstract Number: 691
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: 700
SHM Converge 2023
Case Presentation: A 24-year-old male with past medical history of sickle cell trait, bicytopenia (with a negative outpatient hematology and oncology workup) and diagnosed acute rheumatic fever 7 months earlier (on prophylactic penicillin BID) presents to the emergency department with 3 weeks of fevers, night sweats, migratory arthralgias and painful subcutaneous nodules involving primarily the […]
Abstract Number: 711
SHM Converge 2023
Case Presentation: A 50-year-old African-American male with a past medical history of essential hypertension presented to the emergency department with a 3-day history of worsening substernal chest pain and shortness of breath. He had no fever, chills, cough, recent immobility, or changes in his medications. He was compliant with hydrochlorothiazide. A review of systems was […]
Abstract Number: 721
SHM Converge 2023
Case Presentation: A 29-year-old woman with a history of two first trimester losses, spontaneous hematoma and deep vein thrombosis was hospitalized for the management of acute anemia. Six weeks prior, she was hospitalized for a spontaneous right calf hematoma. Four weeks later, she was diagnosed with an unprovoked acute right popliteal vein thrombus and was […]
Abstract Number: 723
SHM Converge 2023
Case Presentation: This is an otherwise healthy 28-year-old female who presented with sudden, atraumatic left lower extremity paresis. With the same onset, she noted left-sided paresthesia and left upper extremity weakness. She additionally had a history of two episodes of transient, unilateral blurred vision. On admission, her examination revealed intact cranial nerves. Strength was intact […]