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Abstract Number: 739
SHM Converge 2021
Case Presentation: A 67 year-old male presented to the hospital with progressive weakness, lightheadedness upon standing, and intermittent chest pain. His medical history includes hypertension and chronic back pain from spinal stenosis for which he was previously on long-term prednisone. Two months prior to admission he underwent an uncomplicated lumbar fusion with discectomy after which […]
Abstract Number: 740
SHM Converge 2021
Case Presentation: A 30 year old M truck driver with a history of herniated disc was referred to the emergency room (ER) by an infectious disease specialist for elevated eosinophils (12.96 K/uL), chest pain (CP) and tachycardia. The patient complained of pleuritic left sided CP without shortness of breath or hemoptysis. Six weeks prior to […]
Abstract Number: 742
SHM Converge 2021
Case Presentation: 63-year-old female with past medical history of type II diabetes, Roux-en-Y bypass, alcoholic hepatitis, osteoarthritis of bilateral knees post-total left knee arthroplasty (2014), presented with acute left knee pain and new functional decline. She denied any trauma, fevers, or chills. Exam was notable for warmth over the joint, diffuse pain with palpation and […]
Abstract Number: 743
SHM Converge 2021
Case Presentation: We present the case of a 49-year-old woman who presented with two days of right-sided abdominal pain radiating to the right groin and right flank. She had been seeing a chiropractor for cervical neck pain poorly controlled on daily acetaminophen, with improvement in her pain following these chiropractic sessions. At her most recent […]
Abstract Number: 744
SHM Converge 2021
Case Presentation: A 66-year-old African-American female with past medical history of hypertension, anemia, atrial flutter, and chronic kidney disease presented at OSH with pneumonia complicated by encephalopathy. Initial labs were notable for Na 123 mmol/L, BUN 15 mg/dL, Cr 2.1 mg/dL, WBC 15.6, Hgb 8.4 g/dL. The patient had a long and complicated hospital course. […]
Abstract Number: 745
SHM Converge 2021
Case Presentation: A 22-year-old male with no known medical history presented with complaints of epistaxis for two weeks and subjective fevers. The patient also reported fatigue, and unintentional weight loss for three months. He was tachycardic to 111 on presentation, but otherwise afebrile and normotensive. Pertinent physical exam findings included dried blood in the nares, […]
Abstract Number: 746
SHM Converge 2021
Case Presentation: 73 YO female with PMH of dementia, upper GI bleed with multiple transfusions who presented 1-week post discharge for GI bleed (where she was transfused with 4 units of RBC – hgb was 9 g/dl on discharge) with fatigue, diarrhea and dark colored urine. Patient reported possible bloody diarrhea. Patient’s vital signs were […]
Abstract Number: 747
SHM Converge 2021
Case Presentation: A 51-year-old man with history of alcoholic cirrhosis presented with diarrhea, abdominal pain, fatigue and confusion for one week. Vitals were within normal limits, though the patient reported subjective fevers at home. Physical exam was notable for asterixis and ascites, and a paracentesis was performed. Cell count and culture of his ascitic fluid […]
Abstract Number: 748
SHM Converge 2021
Case Presentation: A 32 year old female with morbid obesity presents with acute onset chest pain and dyspnea. Vitals notable for HR 130s, BP 117/71, RR 22, 99% RA. Cardiopulmonary exam was unremarkable. Labs were notable for troponin 0.266, BNP 679 and lactic acid 3.7. CXR was clear and lower extremity ultrasound was negative for […]
Abstract Number: 749
SHM Converge 2021
Case Presentation: A 51-year-old woman with irritable bowel syndrome presented with abdominal distention, anasarca, and altered mental status. A few weeks prior to her admission, she received an intragluteal steroid injection at another facility for recently diagnosed sciatica. On admission to outside facility, vital signs were notable for hypertension (BP 171/88). Laboratory work was significant […]