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Search Results for PAT
Abstract Number: 591
SHM Converge 2024
Case Presentation: 21-year-old Caucasian male with no known medical history, has brought himself to the ED for evaluation of short-term memory issues. The patient denies any fever or chills, weakness, head trauma or similar complaints in the past. He exercises regularly, denies smoking alcohol or drug use. He has been using was finasteride since an […]
Abstract Number: 598
SHM Converge 2024
Case Presentation: A 74-year-old Hispanic male patient with a history of monoclonal gammopathy of undetermined significance presented with worsening right upper extremity (RUE) motor weakness for the last few months. This was present in an ulnar nerve distribution with muscle wasting in the hypothenar and fourth and fifth metacarpal areas. Blood work was notable for […]
Abstract Number: 605
SHM Converge 2024
Case Presentation: A 52 year-old man with PMH of HIV presented with inguinal lymphadenopathy, intermittent abdominal pain, suprapubic fullness, fever and poor urine production for several days. Bladder catheterization yielded a large volume of bloody urine. The patient had not experienced hematuria previously and had no history of urinary retention, urgency, perineal or GU trauma. […]
Abstract Number: 614
SHM Converge 2024
Case Presentation: 47 year old male with left temporal meningioma s/p resection, and recent immigration from India presented with fevers and worsening encephalopathy. CTH was unremarkable however MRI showed leptomeningeal hemispheric, brain stem, and cord signal with perivascular enhancement concerning for CNS TB however included a broad differential. He was started on empiric antibiotics for […]
Abstract Number: 617
SHM Converge 2024
Case Presentation: A 36-year-old male with no past medical history presented to the emergency room for medical evaluation for one week of diarrhea that became bloody four days prior to presentation. During the hospitalization, he had worsening thrombocytopenia and labs were consistent with Shiga Toxin 2 positive hemolytic uremic syndrome. He was managed with supportive […]
Abstract Number: 619
SHM Converge 2024
Case Presentation: A 75-year-old male with atrial fibrillation on apixaban and eradicated HCV presented to the Emergency Department one day after a syncopal episode with right upper quadrant abdominal pain. On initial presentation, he was hemodynamically unstable with hypotension and atrial fibrillation with rapid ventricular response. His vital signs normalized after 2 liters of intravenous […]
Abstract Number: 620
SHM Converge 2024
Case Presentation: A 53-year-old Asian female with no significant past medical history and a lifelong non-smoker without any chronic secondhand smoke exposure presented with a long-standing chronic non-productive cough that persisted over many years. The patient was not taking any prescribed medication(s) or over the counter supplements. Review of symptoms was negative for fever, chills, […]
Abstract Number: 633
SHM Converge 2024
Case Presentation: A 36-year-old G9P9 Jehovah’s Witness female with no significant past medical history, presented to the emergency department with a 2-week history of postural headaches and double vision. Neurological examination was normal except for left abducens nerve palsy. CTA of the head was unremarkable, but an MRI of the head revealed diffuse smooth dural […]
Abstract Number: 642
SHM Converge 2024
Case Presentation: Posterior reversible encephalopathy syndrome (PRES) is a neurological disorder characterized by symptoms of encephalopathy and radiographic findings suggestive of vasogenic edema. Although PRES is most often triggered by hypertensive emergencies, sepsis and immunosuppressive medications have also been implicated in its pathogenesis. We present a case of PRES due to lithium toxicity.A 47-year-old female […]
Abstract Number: 649
SHM Converge 2024
Case Presentation: A 96-year-old previously healthy Japanese man with a history of pancytopenia presented to our ED in May 2023 with ascending numbness and paresthesia. Over 1.5 months, he steadily developed numbness and tingling that ascended to his chest level (T4). He initially presented to an outside ED and received a CT T-spine that showed […]