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Abstract Number: 0506
FROM RASH TO REVELATION: A UNIQUE CASE OF LEPROSY IN A PREVIOUSLY HEALTHY 38-YEAR-OLD WOMAN
SHM Converge 2025
Case Presentation: A 38-year-old woman with no significant past medical history presented with fever, diffuse rash, and hypoesthesia. One year prior, the patient developed flesh-colored patches on her abdomen and raised lesions under her left arm. A biopsy revealed cutaneous nontuberculous mycobacterial infection with 4+ acid fast bacilli (AFB) stain, but AFB cultures were negative. [...]
Abstract Number: 0513
TAKE THE CAROLI: ASYMPTOMATIC CAROLI’S DISEASE IN AN ELDERLY PATIENT WITH CYSTIC RENAL DISEASE
SHM Converge 2025
Case Presentation: The patient is a 69-year-old female with hemoglobin S/C disease, hypertension, and chronic kidney disease who presented to the hospital for lower back pain in the setting of a fall. CT scan demonstrated an L1 compression fracture and an incidental finding of cystic lesions in the liver and kidneys. Subsequent MRI demonstrated innumerable [...]
Abstract Number: 0573
KIKUCHI-FUJIMOTO DISEASE: AN UNDERRECOGNIZED CAUSE OF LYMPHADENOPATHY IN YOUNG WOMEN
SHM Converge 2025
Case Presentation: We present a case of a 22-year-old female with necrotizing lymphadenopathy, later diagnosed with Kikuchi-Fujimoto disease (KFD). The patient initially presented with fevers, night sweats, and painful swelling in the left side of her neck progressively worsening over four days. She also reported lightheadedness, a left-sided orbital headache, and a decreased appetite. There [...]
Abstract Number: 0588
NOT SO CLEAR: AN UNUSUAL METASTASIS OF RENAL CELL CARCINOMA
SHM Converge 2025
Case Presentation: An 84-year-old male with oncologic history of oligometastatic ccRCC, metastatic prostate cancer and melanoma was found to have a 16mm enhancing, pancreatic head mass on evaluation of an infrarenal abdominal aortic aneurysm on computed tomography (CT). At age 61, he underwent a left radical nephrectomy for a 5 cm, Grade II ccRCC with [...]
Abstract Number: 0597
UNVEILING AN UNUSUAL CAUSE OF OBSCURE GASTROINTESTINAL BLEEDING
SHM Converge 2025
Case Presentation: A 68-year-old male with 6-months history of dark stools, lightheadedness, and fatigue. He was not on blood thinners. He had three ED visits, two hospitalizations and several office visits and received seven units of packed red blood cells (PRBC) during that time for iron deficiency anemia. Extensive workup with upper GI endoscopy (EGD) [...]
Abstract Number: 0640
POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME ,BRAINSTEM AND CKD : A CLINICAL VIGNETTE AND CALL FOR RAPID DIAGNOSIS WITH BRAIN MAGNETIC RESONANCE IMAGING
SHM Converge 2025
Case Presentation: A 32-year-old man with a past medical history of hypertension and stage IV chronic kidney disease (CKD) was brought to the hospital by emergency medical services after he was found unresponsive. His initial blood pressure was 266/166 mmHg in the ambulance.Upon physical examination, patient remained unresponsive, with occasional gaze deviation to the right [...]
Abstract Number: 0672
I’M TOO AFRAID TO EAT: A RARE CASE OF MEDIAN ARCUATE LIGAMENT SYNDROME
SHM Converge 2025
Case Presentation: A 61-year-old female with past medical history of coronary artery disease, antiphospholipid syndrome, Sjogren’s syndrome, and double stenting of the celiac artery due to focal dissection one month prior to her current hospitalization presented to the hospital with a 6-month history of substernal and mid-epigastric pain which worsened with food intake. Over the [...]
Abstract Number: 0751
BEYOND THE LUNGS: A CASE OF REACTIVE INFECTIOUS MUCOCUTANEOUS ERUPTION (RIME) FOLLOWING MYCOPLASMA PNEUMONIAE INFECTION
SHM Converge 2025
Case Presentation: A 26-year-old man with no significant past medical history presented to medical attention with severe oral mucositis. Approximately one week prior to his presentation, the patient developed symptoms of a respiratory illness with a productive cough, myalgias, and fever of up to 103 Fahrenheit. Although his respiratory symptoms began to improve, he developed [...]
Abstract Number: 0759
OBESITY AND MALNUTRITION: WHAT ARE WE MISSING? A CASE OF SCURVY IN A 500 POUND PATIENT.
SHM Converge 2025
Case Presentation: A 64-year-old male presented to the Emergency Department with fevers, anorexia, flank pain and two months of progressive oral sores diagnosed as refractory oral candidiasis by his outpatient provider. Comorbidities included hypertension and obesity (body-mass-index 70). Labs revealed an elevated white blood cell count (14,000/L). Bilateral pyelonephritis was diagnosed on computed tomography. Broad [...]
Abstract Number: 0915
METASTASIS OF PROSTATE CANCER TO DUODENUM: AN UNUSUAL CASE
SHM Converge 2025
Case Presentation: 85-year-old male with a history of hypertension, hyperlipidemia, coronary artery disease, and advanced dementia presented to the hospital with altered mental status and right-sided weakness and, was found to have left-sided acute on chronic subdural hematoma of the left frontal lobe and underwent a craniotomy and clot evacuation surgery. During the hospitalization, the [...]
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