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Meeting
Search Results for DIC
Abstract Number: 695
SHM Converge 2024
Case Presentation: A 66-year old woman with a history of obesity and hypertension presented with a right femoral neck fracture after a mechanical fall. She underwent a right total hip arthroplasty and the anesthesiologist reported transient intraoperative hypoxia during cement placement. In the recovery room, the patient was hypotensive, tachycardic and hypoxic requiring up to […]
Abstract Number: 718
SHM Converge 2024
Case Presentation: A 9-year-old female presented with two months of hyperpigmented skin and stiffness mainly in her lower extremities. She had difficulty brushing her hair and walking accompanied by weight loss and dyspnea. On examination, diffuse hyperpigmentation and peau d’orange skin changes were observed with the “groove sign” on her right medial thigh. She also […]
Abstract Number: 720
SHM Converge 2024
Case Presentation: A previously healthy, 7-year-old girl presented to the emergency department with intermittent episodes of achy abdominal and right-sided flank pain for one month. The patient’s mother endorsed pain severe enough to wake the patient from sleep, as well as occasional constipation, and an associated 12-lb weight loss over the previous six months. On […]
Abstract Number: 749
SHM Converge 2024
Case Presentation: An 87yo woman with dementia presented with a large right adrenal mass consistent with pheochromocytoma with lymph node metastases based on biochemical testing and MIBG scan. Non-operative management with iobenguane-131 (Azedra) was considered because of her surgical risk. However, given her underlying dementia, comorbid conditions, and frailty, she was appropriately identified as high […]
Abstract Number: 764
SHM Converge 2024
Case Presentation: An 85-year-old female with a history of insulin-dependent diabetes, chronic kidney disease, and pemphigus vulgaris presented with four days of dyspnea and non-productive cough. History was significant for recent rituximab infusions and chronic prednisone therapy for pemphigus. On presentation to the ED, the patient was noted to be hypoxic to SpO2 84% on […]
Abstract Number: 771
SHM Converge 2024
Case Presentation: A 69yo man was seen in preop clinic before cystoprostatectomy for a very large bladder tumor that had excellent radiographic response to pembrolizumab. His recent history was notable for an episode of witnessed syncope 5 weeks prior attributed to dehydration in the setting of baseline, long-standing intermittent episodes of SVT. Outpatient ECHO and […]
Abstract Number: 805
SHM Converge 2024
Case Presentation: A 63-year-old man with polycystic kidney disease and bilateral renal masses was seen in our dedicated Pre-Operative clinic before a bilateral nephrectomy for renal cell carcinoma. In preparation for this surgery his nephrologist had placed a referral for community hemodialysis. However, regional wait times for community dialysis chairs averaged 2-3 months necessitating prolonged […]
Abstract Number: 822
SHM Converge 2024
Case Presentation: A 63-year-old male with a medical history of hypertension presented with progressive vision loss over four months, with a one-month history of diffuse myalgias, increasing agitation, and altered behavior. He was an avid hunter with a history of frequent tick and deer fly bites. He presented to the emergency department with his wife […]
Abstract Number: 838
SHM Converge 2024
Case Presentation: We present the case of an 18-year-old female with no medical history presented to the emergency department with a two-day history of jaundice and dark-colored urine. She had no other typical symptoms of IM like sore throat, fever or flu-like symptoms. The only medication that she has been taking regularly is oral contraceptive […]
Abstract Number: 847
SHM Converge 2024
Case Presentation: A 33 year old previously healthy male with no significant past medical history presented to the ED with two days of severe bilateral shoulder pain and chest swelling, found to have bilateral anterior shoulder dislocations with humerus fractures, an AKI and rhabdomyolysis. Patient stated he awoke from sleep two days prior with severe […]