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Meeting
Search Results for ATYPICAL
Abstract Number: 699
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: An 88 year old female with no past medical history presented to the ED with low back pain, chronic cough and one episode of pinkish sputum. Chest CT showed bilateral nodular lesions. Serological tests including ANCA were sent before her discharged home. Next day, she returned with acute right lower extremity weakness and […]
Abstract Number: 716
SHM Converge 2023
Case Presentation: Autoimmune encephalitides comprise a rapidly evolving group of immune-mediated disorders characterized by inflammation of the brain parenchyma. Patients with this disorder manifest a wide spectrum of neurological and psychiatric presentations developing over days to months. One sub-type is anti-NMDAR-encephalitis, which is characterized by complex neuropsychiatric features and the presence of IgG antibodies against […]
Abstract Number: 732
SHM Converge 2023
Case Presentation: A 61-year-old male with history of hypertension, asthma, and morbid obesity presented with left arm, chest, and face numbness, back pain, and shortness of breath at rest. He denied weakness with the numbness. His symptoms were akin to “being kicked by an elephant.” These symptoms had been worsening for one week prior to […]
Abstract Number: 738
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Hashimoto encephalopathy is a poorly understood and rare complication of Hashimoto thyroiditis. Patients can present with seizures, movement disorders, or cognitive decline that improves with steroid therapy. The disease is a diagnosis of exclusion, but delay in recognition and treatment can lead to increased morbidity and mortality. A twenty-one year old white female […]
Abstract Number: 749
SHM Converge 2021
Case Presentation: A 51-year-old woman with irritable bowel syndrome presented with abdominal distention, anasarca, and altered mental status. A few weeks prior to her admission, she received an intragluteal steroid injection at another facility for recently diagnosed sciatica. On admission to outside facility, vital signs were notable for hypertension (BP 171/88). Laboratory work was significant […]
Abstract Number: 760
SHM Converge 2021
Case Presentation: Previously healthy 2-month-old female presented with 4 day history of fever, rhinorrhea, cough, emesis, diarrhea, decreased intake and progressing rash on abdomen and extremities. Exam notable for injected conjunctiva and flash capillary refill. Patient was admitted to the Pediatric Intensive Care Unit (PICU) for fluid resuscitation and severity of presentation. Given concern for […]
Abstract Number: 825
SHM Converge 2024
Case Presentation: A 48-year-old male with major depressive disorder, bipolar disorder and borderline personality disorder with multiple psychiatric admissions was admitted to the hospital for sepsis secondary to aspiration pneumonia with associated chronic dysphagia and unintentional weight loss. He also reported suicidal ideation, homicidal ideation, and intrusive thoughts of hurting others. Per family he had […]
Abstract Number: 848
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 29-year-old male with no significant past medical history was admitted with 10 days of persistent fevers, cough, shortness of breath that worsened with exertion, weight loss, nausea, and vomiting. The patient had no history of travel to any TB-endemic areas, was in a monogamous relationship with his wife, denied IVDU, and had […]
Abstract Number: 849
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 57-year-old African-American male, with past medical history of nonischemic cardiomyopathy, moderate aortic insufficiency, HTN, and cocaine abuse presented to the emergency room with complaints of shortness of breath (SOB), and chest pain (CP). He admitted to using cocaine on his birthday party, which was 5 days ago. After using cocaine he started […]
Abstract Number: 860
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 41-year old-woman with history of Hashimoto’s thyroiditis was transferred from referring hospital (OSH) for persistent thrombocytopenia. Patient was well until one month prior to presentation, when she presented for right upper quadrant (RUQ) pain. The patient was diagnosed with gallstone cholecystitis and underwent laparoscopic cholecystectomy. At the time of her surgery, she […]