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Search Results for Renal
Abstract Number: 596
SHM Converge 2021
Case Presentation: A 43-year-old woman with a history of SLE underwent a renal biopsy for proteinuria without immediate complications. Four days post-procedure, she reported fever and myalgia. She was also found to have a drop in hemoglobin from 11.1 to 9.8 g/dL. A CT abdomen showed a left renal subscapular and retroperitoneal hematoma without active […]
Abstract Number: 596
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 75 year old male was transferred into the ICU, already intubated, requiring antibiotics and pressors. He was hypotensive, tachypnic with respiratory distress, had severe oliguric AKI with serum creatinine of 6.0, and anemia with hemoglobin below 7.0. His initial CXR and CT showed scattered bilateral pulmonary opacities. After he did not improve […]
Abstract Number: 597
SHM Converge 2024
Case Presentation: A 41-year-old male with a past medical history of hypertension and occasional alcohol use presented to our facility for progressively worsening shortness of breath and flu-like symptoms of six days duration. The patient was started on oseltamivir at an urgent care two days prior to presentation. On evaluation, the patient was diaphoretic and […]
Abstract Number: 606
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 40-year-old male presented to the emergency department with complaints of back pain for 3 weeks. He described the pain as aching and circumferential involving the sternum, right ribs, shoulders, and back. His previous medical history was unremarkable and he never had any prior imaging studies. Plain radiographs of the spine did not […]
Abstract Number: 606
SHM Converge 2021
Case Presentation: A 56 year-old man with schizoaffective and antisocial personality disorders was admitted from the county jail witha 4-day history of fever, hemoptysis, severe headaches, hematuria, diffuse myalgias,and bloody diarrhea. Officers reported the patient frequently flooded his cell and ingested toilet water. A CXR revealed L>R bibasilar infiltrates, and a diagnosis of Legionellapneumonia was […]
Abstract Number: 607
SHM Converge 2024
Case Presentation: A healthy 61-year-old woman residing in New York City presented with fever, fatigue, and decreased urinary output for four days. She was ill-appearing, jaundiced and hypotensive. Laboratory results were notable for WBC of 5.2/µl, hemoglobin 9 g/dl, platelet count 46,000/mm3, BUN 43 mg/dl, creatinine 4.36 g/dl, total bilirubin 4.6 mg/dl, direct bilirubin 1.5 […]
Abstract Number: 608
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 22 year-old G1P1000 pregnant woman at 24 weeks presented with hypertensive urgency and newly diagnosed intrauterine growth restriction in the setting of pre-eclampsia. On admission her physical exam and laboratory data were unremarkable. The patient was admitted to maternal fetal medicine for closer fetal monitoring. On hospital day (HD) 9 she began […]
Abstract Number: 612
SHM Converge 2024
Case Presentation: A 46-year-old male with a history of HFpEF on Entresto presented for fatigue, lymphadenopathy, and severe back pain. He was diagnosed with Renal Cell Carcinoma (RCC) and was pending oncologic evaluation. On admission, his potassium and platelet levels were within normal limits. However, within the next two weeks, those levels would rise. Potassium […]
Abstract Number: 613
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 61 year old African American man with past medical history of hyptertension, diabetes mellitus type 2, chronic kidney disease stage 3, remote intravenous drug use, Hepatitis C presented with worsening hypertension, new onset bilateral lower extremity swelling and worsening kidney function since one month. Patient reported weight gain and urinary frequency at home but […]
Abstract Number: 616
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 55-year old man with a history of hypertension presented to the hospital with pleuritic left chest pain for 1 day and enlarging bilateral breasts for 2 months. Initial vital signs were notable for elevated blood pressure of 180/90 mmHg. Physical exam was remarkable for bilateral gynecomastia, areolar tenderness and testicular hypotrophy. Admission […]