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Abstract Number: 754
NON-CARDIOGENIC PULMONARY EDEMA FOLLOWING GADOLINIUM USE FOR MAGNETIC RESONANCE IMAGING
SHM Converge 2023
Case Presentation: A 38-year-old woman with a history of Anxiety, Depression and Endometriosis presented for outpatient Magnetic Resonance Imaging (MRI) Pelvis with contrast for evaluation of chronic pelvic pain. Her medications included Alprazolam, Bupropion, Minoxidil, Sertraline and Ethinylestradiol/Levonorgestrel, with known allergies to Penicillin, Sulfa antibiotics and Shellfish. She fasted for four hours and took Alprazolam [...]
Abstract Number: 761
A LITTLE PROTEIN ON THE BRAIN: CASE OF CREUTZFELDT-JAKOB DISEASE
SHM Converge 2023
Case Presentation: This is a case of a 66-year-old woman with history of hypertension and hypothyroidism who was brought in by her family due to confusion. At baseline, patient was a high functioning individual, working as a customer service representative and living independently. About a month prior to presentation, her family noticed a decline in [...]
Abstract Number: 761
WHEN CANCER ISN’T THE ANSWER: NEUROSARCOIDOSIS MASQUERADING AS MALIGNANCY IN A PATIENT WITH HISTORY OF BREAST CANCER
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 59-year-old woman with a history of ductal carcinoma in situ status post mastectomy presented with dizziness exacerbated by change of head position. Patient endorsed a history of intermittent dizziness in the past few weeks, which caused her to fall on her right hip on three occasions. Hip radiograph showed no evidence of [...]
Abstract Number: 762
BETWEEN THE ROCK AND THE HARD PLACE- HYPONATREMIA MASKING NEUROLEPTIC MALIGNANT SYNDROME (NMS)
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: Our patient is a 63-year-old Caucasian male with a past medical history of schizophrenia on risperidone, psychogenic polydipsia and chronic hyponatremia. He presented to the emergency department after being discovered unresponsive in a personal care home. He was tachycardic with a heart rate of 110, hypertensive with a blood pressure of 194/95 mmHg [...]
Abstract Number: 762
THAT PANCREAS IS SMASHED!
SHM Converge 2023
Case Presentation: A 33-year-old female presented to the emergency department with 2-days of fever, nausea, non-bilious/non-bloody vomiting, epigastric pain, and anorexia. This was superimposed on a one-year history of intermittent abdominal pain, bloating, nausea, bilious vomiting, and 20-pound weight loss which has been preceded by food insecurity with resulting weight loss. Her past medical, surgical, [...]
Abstract Number: 763
CRACKING THE CORTICAL CODE: DIAGNOSTIC APPROACH FOR ADRENOCORTICAL CARCINOMA
SHM Converge 2024
Case Presentation: A 59-year-old female presented with a one-month history of right upper quadrant abdominal pain and unexplained weight loss. On initial examination, the patient had a BMI of 27.1 kg/m2, blood pressure of 134/88 mmHg. A computerized tomography (CT) scan revealed a substantial tumor centered in the right adrenal gland region, compressing the inferior [...]
Abstract Number: 763
DOUBLE-POSITIVE ANTI-PR3 AND ANTI-GBM ANTIBODIES IN AN OVERLAP PULMONARY-RENAL SYNDROME
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 22-year-old male with no PMH or FH of autoimmune diseases and no substance use history presented with several days of worsening dyspnea, pleuritic chest pain, cough and hemoptysis. On evaluation, his vital signs were T 98.3oF, BP 103/64 mmHg, HR 86/min, RR 21/min, SpO2 93%. Physical exam was notable for auscultation of [...]
Abstract Number: 764
Look Beyond The Lungs
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 22-year-old Hispanic male presented with a 4 day history of rectal and abdominal pain. He denied any previous medical history. He also noted three months of productive cough, pyrexia, chills, night sweats, fatigue, and weight loss. Physical examination revealed right lower quadrant tenderness accompanied by abdominal rigidity and involuntary guarding. The patient declined digital rectal examination. [...]
Abstract Number: 765
LEVOFLOXACIN-INDUCED MYOCLONUS
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 61-year-old man with stage 5 chronic kidney disease was admitted to the hospital with four days of new, uncontrollable muscle twitching. One week prior, he had undergone incision and drainage of a gluteal abscess and was prescribed levofloxacin. Two days later, he began to experience twitching of his face and jerking of [...]
Abstract Number: 766
PERIPROCEDURAL INTRACRANIAL HEMORRHAGE: A REVIEW OF BETA-BLOCKER WITHDRAWAL
SHM Converge 2023
Case Presentation: A 77-year-old female with a history of hypertension and stage IV uterine carcinosarcoma treated with resection, peritoneal debulking, and chemotherapy, presented to the hospital with chest pain and shortness of breath. Her workup revealed new anemia and pulmonary metastatic disease. She underwent an esophagogastroduodenoscopy and colonoscopy for her anemia workup which showed no [...]
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