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Search Results for ICI
Abstract Number: 297
SHM Converge 2021
Background: Access to pediatric subspecialty care is often challenging outside of large urban areas, especially in the field of pediatric dermatology. Overall, demand for pediatric dermatologic care outstrips the supply of pediatric dermatologists. As a result, the need for dermatology consultative services to hospitalized children is increasingly unmet. Teledermatology, or the use of telemedicine platforms […]
Abstract Number: 314
SHM Converge 2021
Case Presentation: Case presentationA 47 yo female with a history of hypertension, obesity, and prediabetes presented to the emergency department of a community hospital with a 2 week history of a nonproductive cough and generalized weakness. Her chest x-ray showed bilateral patchy airspace opacities. Chest CT PE protocol was negative for pulmonary embolus, but showed […]
Abstract Number: 326
SHM Converge 2021
Case Presentation: A 66-year-old female with a history of stage IV non-small cell lung cancer (NSCLC) (90% PD-L1 +) on pembrolizumab (status post cycle 9) with metastasis to the left adrenal gland presented with a two-week history of malaise, nausea, and vomiting. Vital signs were stable and physical exam was euvolemic, with mild epigastric tenderness. […]
Abstract Number: 348
SHM Converge 2021
Case Presentation: A 73-year-old woman with a past medical history of hypertension and osteoarthritis presented to the emergency department with progressive right lower back pain after a mechanical fall, subacute oropharyngeal dysphagia, and diffuse proximal and distal muscle weakness. On presentation, she was afebrile with unremarkable vital signs. Her labs were significant for a WBC […]
Abstract Number: 353
SHM Converge 2021
Case Presentation: A 73-year-old Caucasian male presented with worsening fatigue and dyspnea for several days. His comorbidities included remote history of essential thrombocytosis controlled with aspirin, hypertension, chronic kidney disease, and mitral valve repair. He was admitted to the medical ICU for acute hypoxic respiratory failure requiring mechanical ventilation. His physical exam was remarkable for […]
Abstract Number: 357
SHM Converge 2021
Case Presentation: A 66-year-old man with a history of stage IIId melanoma, who received 6 cycles of Nivolumab, presented with anorexia and persistent large-volume diarrhea. Initial workup included a non-elevated white blood cell count of 6.9 k/mm3 and a creatinine of 1.6 mg/dL from baseline creatinine of 0.8 mg/dL. CT imaging of the abdomen showed […]
Abstract Number: 361
SHM Converge 2021
Case Presentation: A 51-year-old African American Female with PMHx of sickle cell trait, vitiligo (developed 5 years ago), T2DM, HTN, unspecified seizure disorder who presented with altered mental status and found to have severe pancytopenia. She presented hemodynamically stable with a physical exam notable for: pale conjunctiva and diffuse skin hypopigmentation consistent with vitiligo. Medications: […]
Abstract Number: 434
SHM Converge 2021
Case Presentation: A 77 year old male with history of diabetes mellitus, systolic heart failure and morbid obesity who presented with multiple episodes of falls occurring over a 2 week period. The patient reported bilateral weakness and pain in the lower extremities, in addition to sensation of paresthesias and numbness. He reported a progressive loss […]
Abstract Number: 467
SHM Converge 2021
Case Presentation: A 64-year-old woman with end-stage renal disease (ESRD) on peritoneal dialysis (PD) presented with altered mental status. She reported “seeing monsters when I close my eyes,” “bouncing off the walls like I was drunk,” and slurring her speech at home. Her family added that she was highly functional at baseline, lived independently and […]
Abstract Number: 472
SHM Converge 2021
Case Presentation: A 70-year-old male with a history of type 2 diabetes mellitus complicated by neurogenic bladder with indwelling catheter and severe peripheral vascular disease status post bilateral below knee amputations (BKAs) presented with watery diarrhea and nausea for 1 day. Both amputations were in the preceding four months. He required multiple rounds of antibiotics […]