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Search Results for PAT
Abstract Number: 655
SHM Converge 2024
Case Presentation: This case report outlines the clinical course of a previously healthy 25 year old female who presented to the emergency department with a 2 week history of myalgia, high grade fever, and pain in palms and soles of her feet. Upon presentation to the patient’s local ER, her clinical condition rapidly deteriorated, and […]
Abstract Number: 670
SHM Converge 2024
Case Presentation: 37 y/o M with a past medical history of SARS-CoV-2 infection one month prior presented after a syncopal episode and complained of inability to move his lower extremities. On exam he was hypotensive and had 0/5 motor strength in his bilateral lower extremities, decreased rectal tone, and absent patellar reflexes. Sensation to light […]
Abstract Number: 672
SHM Converge 2024
Case Presentation: A 48-year-old male with past medical history significant for hypertension, alcohol use disorder in remission, known grade I esophageal varices, and cirrhosis who presented with confusion and oral mucosa bleeding. He was tachycardic to 100 but had adequate blood pressure of 106/68. Initial labs remarkable for hemoglobin 9.4 g/dL and platelet count 1 […]
Abstract Number: 684
SHM Converge 2024
Case Presentation: A 53-year-old female with a past medical history of hypertension presented with three days of progressively worsening confusion, aphasia, poor PO intake, and urinary incontinence. Vital signs were within normal limits. Physical exam notable for orientation only to person and place, hyperreflexia, and no other focal neurologic deficits. Initial workup significant for positive […]
Abstract Number: 687
SHM Converge 2024
Case Presentation: 65-year-old man with a history of end stage renal disease on hemodialysis, hypertension, cervical spine stenosis status post surgical decompression presented with melena, a decreased appetite, dysphagia for solids and liquids, and a ninety-pound weight loss over the prior six months. He was admitted with acute hypoxic respiratory failure and stridor requiring endotracheal […]
Abstract Number: 691
SHM Converge 2024
Case Presentation: A 22-year-old male with no past medical history presented with a three-week history of a frontal headache associated with nausea and vomiting. He denied various symptoms, including bloody diarrhea, dysuria, or hematuria. He had no history of renal calculi, recent illness, antibiotic exposure, or drug allergies. He recently traveled to Jamaica and Florida […]
Abstract Number: 701
SHM Converge 2024
Case Presentation: 65 year old female with history of rheumatoid arthritis on methotrexate and hydroxychloroquine, prior gastric ulcers on EGD, who was admitted to the hospital with bloody diarrhea, epigastric pain, acute blood loss anemia found to have duodenal ulcer. Patient received 2 units of blood products on hospitals day one and four. Course had […]
Abstract Number: 705
SHM Converge 2024
Case Presentation: A 13-year-old previously healthy boy presented to the emergency department with 1 day of jaundice and scleral icterus as well as acute on chronic progressive abdominal pain. Review of systems was notable for unintentional 5 kg weight loss over the past year, fatigue, oral ulcers, Raynaud’s phenomenon, and gross hematuria. He had no […]
Abstract Number: 710
SHM Converge 2024
Case Presentation: A 5-year-old boy with autism and developmental delay presented to the emergency department with acute inability to ambulate following progressive lethargy and weakness. He was nonverbal at baseline with new developmental regression and diffuse peripheral hypotonia, limiting activities of daily living. Neuroimaging demonstrated thalamic hyperintensities consistent with thiamine- and pyridoxine-related encephalopathy. Diet history […]
Abstract Number: 725
SHM Converge 2024
Case Presentation: A 66-year-old female with medical history of breast cancer s/p mastectomy and chemoradiation with no proven recurrence and a recent CT guided biopsy of paraaortic nodes showing adenocarcinoma of unknown primary who presented to the ED with chief complaint of shortness of breath and leg swelling. Physical examination was significant for BP of […]