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Abstract Number: 326
MEDICATION OR METASTASIS? DIAGNOSIS OF ADRENAL INSUFFICIENCY AND HYPOTHYROIDISM IN A PATIENT WITH STAGE IV LUNG CARCINOMA ON PEMBROLIZUMAB
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: 357
APPROACH TO REFRACTORY NIVOLUMAB-INDUCED COLITIS WITH CONCURRENT CLOSTRIDIUM DIFFICILE INFECTION
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: 703
NO LONGER JUST A BOARD QUESTION
SHM Converge 2021
Case Presentation: A 66-year-old female with metastatic small cell lung cancer involving brain, liver, and bones was admitted via ED with generalized weakness, mild confusion, and decreased oral intake for 3 days. She was initiated on immunotherapy with immune checkpoint inhibitors, ipilimumab (human cytotoxic T-lymphocyte antigen 4 (CTLA-4)-blocking antibody) and nivolumab (a programmed death receptor-1 [...]
Abstract Number: 726
PEMBROLIZUMAB INDUCED COLITIS COMPLICATED BY BOWEL PERFORATION: NON-SURGICAL MANAGEMENT OF PNEUMATOSIS INTESTINALIS
SHM Converge 2021
Case Presentation: A 68-year man presented to the hospital due to 2 weeks of acute abdominal pain with nausea, vomiting, diarrhea and the inability to tolerate his jejunostomy tube feeds, resulting in 20lbs of weight loss. Past medical history includes Stage 4 gastric adenocarcinoma, coronary artery disease, and hypertension. After diagnosis of gastric cancer 1 [...]
Abstract Number: 737
A HEMATOMA DISGUISE: ACQUIRED HEMOPHILIA A TREATED WITH CORTICOSTEROIDS AND RITUXIMAB
SHM Converge 2021
Case Presentation: A 74 year old male with a history of atrial fibrillation on rivaroxaban was admitted to an outside hospital with a spontaneous right gluteus medius and piriformis intramuscular hematoma measuring 5.8 cm found on computerized tomography (CT). On admission, he had a hemoglobin of 7.7 gm/dL, an elevated activated partial thromboplastin time not [...]
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