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Search Results for DIC
Abstract Number: 536
SHM Converge 2024
Case Presentation: A 39-year-old male post-splenectomy due to hereditary spherocytosis presented with syncope, fatigue, fever and dark urine. He had associated tachycardia and fever. Physical exam was unremarkable. Labs showed an elevated lactate, creatinine, bilirubin, transaminases, and markedly elevated D-dimer. CBC was normal. He received IV fluid resuscitation and IV Rocephin. The patient subsequently desaturated […]
Abstract Number: 537
SHM Converge 2024
Case Presentation: A 43-year-old male from Guatemala with a history of alcohol abuse, brief incarceration and nephrolithiasis presented to the emergency room with abdominal pain and bloody diarrhea. He was found to have a psoas abscess and subsequently underwent radiologic aspiration and drainage of the lesion. Given the unusual intraosseous features on imaging, the patient […]
Abstract Number: 538
SHM Converge 2024
Case Presentation: Patient was a 26-year-old female with history of methamphetamine abuse, previous C trachomatis infection, and heart failure with reduced ejection fraction who presented via EMS for acute hypoxic respiratory failure and unresponsiveness and was intubated in ED. Initial vitals include systolic blood pressure of 80, undetectable diastolic blood pressure, heart rate of 168 […]
Abstract Number: 547
SHM Converge 2024
Case Presentation: The patient is a 52-year-old male with a history of HIV (on antiretroviral therapy), ulcerative colitis, untreated hepatitis C who presented to the hospital after several weeks of difficulty passing stools, tenesmus, and rectal pain. This was originally attributed to hemorrhoids several weeks prior to presentation, but after symptoms progressed, the patient presented […]
Abstract Number: 556
SHM Converge 2024
Case Presentation: A 69-year-old male with hypertension, prostate cancer in remission, and recent diagnosis of lymphoma presented after experiencing a fall. Prior workup for abdominal pain, fever, night sweats, and weight loss revealed splenomegaly, anemia, and diffuse lymphadenopathy. Bone marrow biopsy demonstrated malignant lymphoma with prominent follicular helper T-cell component occupying 25-30% of the sampled […]
Abstract Number: 586
SHM Converge 2024
Case Presentation: Iatrogenic pneumothorax is a usually benign complication most commonly caused by transthoracic needle aspiration, central venous catheterization, and thoracentesis, amongst other standard hospital procedures, with an incidence of 1.36% by some estimates. Here we describe a rare case of iatrogenic pneumothorax involving a dry-needling (DN) procedure.Description:A 66-year-old female with a medical history of […]
Abstract Number: 587
SHM Converge 2024
Case Presentation: A 55-year-old male with a history of coronary artery disease, left ventricular (LV) mural thrombus, tobacco use, and recent thalamic, splenic, and renal artery infarcts, presented with two weeks of worsening pain and cyanosis of his left third and fourth toes, associated with claudication. He denied numbness or loss of strength. He denied […]
Abstract Number: 626
SHM Converge 2024
Case Presentation: A 25-year-old female with no known significant medical conditions presented with two weeks of vaginal bleeding, generalized body aches, chills, and fever. Blood counts were significant for WBC count 74 K/uL with 9% blasts, platelet count 25 k/uL, and hemoglobin 5.4g/dL. Peripheral smear showed leukocytosis with numerous blasts and occasional Auer rods concerning […]
Abstract Number: 634
SHM Converge 2024
Case Presentation: A 32-year-old female with a past medical history of migraines, anxiety, and depression presented to the emergency department with complaints of bilateral leg pain and urinary retention. Two weeks prior, she started experiencing urinary frequency and was started on nitrofurantoin at an urgent care center due to concern for a UTI. She also […]
Abstract Number: 664
SHM Converge 2024
Case Presentation: An 80-year-old Caucasian male with a recent history of transaortic valve replacement three months ago was admitted to the hospital with a history of malaise, and 20 pounds of weight loss in 2 months—no history of diarrhea, fever, vomiting or skin rash. Notably, the patient had multiple admissions for septicemia with salmonella species […]