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Meeting
Search Results for Autoimmune
Abstract Number: 783
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 70-year-old woman was admitted to our medical center with a 2-month history of abdominal discomfort, anorexia and fatigue. Past medical history was notable for hyperlipidemia. Five weeks prior to admission, the patient presented to her primary provider with similar complaints and was found to have significantly elevated liver enzymes, as shown in […]
Abstract Number: 816
Hospital Medicine 2020, Virtual Competition
Case Presentation: This is a 64 year old male with a past medical history of bipolar disorder without previous psychiatric admissions, type 2 diabetes mellitus, stroke and autoimmune encephalitis that presented to the emergency room from a subacute rehabilitation facility (month long stay since an L3-L4 discectomy) with altered mental status. While at the rehabilitation […]
Abstract Number: 846
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 60-year-old female with hypertension and hyperlipidemia presented with 8 days of generalized weakness, fatigue, and myalgia. She reported headaches and shortness of breath but denied fever, chills or hematochezia. Vitals were stable and physical exam was unremarkable except for splenomegaly, scleral icterus, and mucosal pallor. Hemoglobin was 4.0 on admission, down from […]
Abstract Number: 866
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 29 year old woman presented with a generalized tonic clonic seizure and progressively worsening ataxia over the last six months. She also had memory deficits and diplopia. Her past medical history included Li Fraumeni syndrome and an immature ovarian teratoma that was treated with a right oophorectomy and chemotherapy in 2015. Her […]
Abstract Number: 869
Hospital Medicine 2020, Virtual Competition
Case Presentation: Patient is a middle-aged African-American female with a history of hypertension and hyperlipidemia, for which she had been on atorvastatin for approximately four years. She originally presented to her primary care physician for evaluation of a one month history of progressive myalgias and proximal muscle weakness. Creatine phosphokinase (CPK) level was elevated to […]
Abstract Number: 895
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 60 year-old female with no significant past medical history was brought in as a level 2 trauma after being involved in a motor vehicle accident. The non-contrast head CT demonstrated bilateral frontal brain lesions, prompting a brain MRI which revealed a non-enhancing T2/FLAIR hyperintense lesion in the anterior frontal lobes and crossing […]
Abstract Number: 927
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 64-year-old man with diet-controlled type 2 diabetes mellitus and hyperlipidemia presented to an academic center with painless jaundice. He was in his usual state of health until 2 weeks prior to presentation when he noticed dark urine. He then developed jaundice 4 days before his presentation. Initial laboratory testing was notable for […]
Abstract Number: 993
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 51-year-old Caucasian male presented for evaluation of worsening lower extremity muscle weakness and associated myalgias. He received a diagnosis of NAM after three months of progressive proximal, symmetric upper and lower extremity weakness with myalgias, and an initial creatinine kinase (CK) of 13,875 IU/L. He had been on Atorvastatin 40 mg for […]
Abstract Number: 1024
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 27 y/o M presented after an episode of confusion and abnormal behavior. Patient reported 1 week of intermittent headaches, nausea, emesis, and dizziness. He had no sick contacts or recent travel. Family history was significant for SLE. On exam he had diffuse weakness but was otherwise neurologically intact without meningeal signs. Initial […]
Abstract Number: 1120
Hospital Medicine 2020, Virtual Competition
Case Presentation: 60-year-old gentleman with a history of autoimmune hemolytic anemia presented to emergency department with acute onset of severe left leg pain, edema, and cyanosis. On examination of his left leg, pulses were not palpable distal to posterior tibialis but motor functions remained intact. There were no blebs or bullae noted. He was requiring […]