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Search Results for ICI
Abstract Number: 505
SHM Converge 2021
Case Presentation: A 46-year-old male from Nigeria with no medical history presented to the emergency department (ED) with 5 days of dark urine, decreased oral intake, weakness, and abdominal pain. On exam, the patient was tachycardic, jaundiced, and had normal oxygen saturation. Labs revealed a leukocytosis, acute kidney injury (AKI), and a precipitous drop in […]
Abstract Number: 515
SHM Converge 2021
Case Presentation: A 48-year-old female with no known medical history presented after a syncopal episode and one week of malaise and fatigue. She was diagnosed with high output heart failure complicating severe pulmonary hypertension. Hemoglobin was 2.7 g/dL with MCV of 50 fL. She denied menorrhagia, melena, hematuria or hematemesis as well as weight loss […]
Abstract Number: 574
SHM Converge 2021
Case Presentation: A 38-year-old male with self-reported history of asthma presented with generalized weakness and syncope. He endorsed 2-week of bilateral leg pain with numbness, loss of taste, and nausea. Vital signs were remarkable for tachycardia in 110s and hypotension at 101/52. Labs showed hemoglobin 3.3, WBC 3.6, platelet 83, MCV 93.9, reticulocyte 1.1%, total […]
Abstract Number: 582
SHM Converge 2021
Case Presentation: Hemolytic anemia secondary to pernicious anemia is fairly uncommon, and not well described. We present a case of a 39-year-old healthy male with no significant medical history, who presented to the ED for evaluation after a near syncopal episode, along with 2 weeks history of fatigue. In the ED, vitals were unremarkable. Physical […]
Abstract Number: 587
SHM Converge 2021
Case Presentation: An 87-year-old female with a history significant for hyperlipidemia on high-intensity atorvastatin for 6 months, multinodular goiter, Raynaud’s disease, spinal stenosis with peripheral neuropathy presents with 3 days of decreased appetite and bilateral lower extremity pain. Her COVID RT-PCR screen was positive, but the patient denied cough, shortness of breath, fever, or diarrhea. […]
Abstract Number: 593
SHM Converge 2021
Case Presentation: This patient is a 74-year old male with CAD, HFpEF, HTN, Type 2 DM, CKD3, and obesity admitted for sepsis secondary to bilateral lower extremity purulent cellulitis, complicated by acute decompensated heart failure. He was started on cefepime 2 g twice daily and on vancomycin (vanco), dosed daily by level. After receiving only two doses of vanco 1g, the patient was found to have persistently elevated […]
Abstract Number: 603
SHM Converge 2021
Case Presentation: A 57-year-old male with history of C5-6 spinal cord injury (SCI) presented with recurrent episodes of sweating, flushing, headache, and hypertensive episodes over the past week, with concern for autonomic dysreflexia (AD). The patient is tetraplegic following traumatic SCI 38 years ago associated with remote episodic AD due to neurogenic bladder and adynamic […]
Abstract Number: 608
SHM Converge 2021
Case Presentation: A 77-year-old female with a history of hypertension and osteoporosis presented to the emergency department with dizziness, fatigue, decreased oral intake, and weakness for a few weeks. She also reported blurry vision and paresthesias in her lower extremities. Physical examination including a neurological examination was normal. Laboratory tests revealed a severe macrocytic anemia […]
Abstract Number: 609
SHM Converge 2021
Case Presentation: A 28-year-old man with a history of non-seminomatous testicular cancer presents after four cycles of chemotherapy that included bleomycin with three weeks of dyspnea and pleuritic chest pain, worse for the previous week. He reports his chest pain began after his third cycle of chemotherapy. With each cycle of chemotherapy, he experiences several […]
Abstract Number: 620
SHM Converge 2021
Case Presentation: 56-year-old Caucasian male with history of atrial flutter/fibrillation, heart failure with preserved ejection fraction, coronary artery disease status post coronary artery bypass graft surgery, mechanical aortic valve replacement presented to the emergency department with progressive generalized weakness, fatigue and shortness of breath for 5 days. He was on metoprolol and verapamil for rate […]