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Abstract Number: 190
CHARACTERIZING PHYSICAL THERAPY NON-TREATMENT FOR PATIENTS ON HOSPITAL MEDICINE SERVICES
SHM Converge 2024
Background: Prolonged immobility during hospitalization is associated with development of hospital-associated disability (HAD) and physical deconditioning. Physical therapy (PT) is important for HAD treatment and prevention but is a constrained resource in most hospital settings and planned sessions can be difficult to complete. Missing planned PT sessions, known as “PT non-treatment”, may compromise patient’s functional [...]
Abstract Number: 531
LOST IN TRANSLATION: DIAGNOSING ACQUIRED ANGIOEDEMA THROUGH LANGUAGE BARRIERS
SHM Converge 2024
Case Presentation: A 68-year-old Spanish speaking female with a history of chronic lymphocytic leukemia (CLL), in remission, and autoimmune hemolytic anemia (AIHA) presented to the ED with left sided neck pain, edema, and hoarseness. These symptoms had been present for the past four months despite three courses of antibiotics. Steroids given in the ED improved [...]
Abstract Number: 605
HEMATURIA, INTERMITTENT FEVER, AND RETROPERITONEAL LYMPHADENOPATHY; A CASE OF MAC.
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: 687
UPPER GASTROINTESTINAL ADENOCARCINOMA PRESENTING AS A SOLITARY CERVICAL NECK MASS
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: 794
HISTIOCYTIC NECROTIZING LYMPHADENITIS: KIKUCHI-FUJIMOTO DISEASE
SHM Converge 2024
Case Presentation: Twenty-two-year-old female with history of asthma presented to Emergency Department with recurrent fevers (101-103F) and tachycardia since June 13, 2023. Patient saw her PCP on 6/10, for fever, tachycardia and abdominal pain and started on Cefdinir for possible sinusitis which she started taking yesterday. Patient had associated non-specific diffused abdominal pain, back pain, [...]
Abstract Number: 799
A RARE PRESENTATION OF A RARE DISORDER: KIKUCHI-FUJIMOTO DISEASE
SHM Converge 2024
Case Presentation: A 49 year old female with past medical history of atrial fibrillation, cerebrovascular accident, and hypertension presented with abdominal pain and rectal bleeding. Patient reported 3 days of worsening, non-radiating L-sided abdominal pain. Review of systems was positive for one episode of fever to 38.3℃, nausea, anorexia, and blood-streaked diarrhea. The patient had [...]
Abstract Number: 810
TESTICULAR CANCER PRESENTING AS RETROPERITONEAL LYMPHADENOPATHY: SEMINOMA
SHM Converge 2024
Case Presentation: A 40-year-old male presented with acute-onset left back and flank pain radiating to the lower abdomen, along with nausea and vomiting. His initial presentation was most concerning for nephrolithiasis and CT Abdomen/Pelvis was obtained. Imaging demonstrated bulky retroperitoneal lymphadenopathy with a large paraaortic conglomerate, measuring up to 14cm in diameter. The mass was [...]
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