Session Type
Meeting
Search Results for Adrenal Insufficiency
Abstract Number: 708
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 69 year-old male with widely metastatic melanoma presenting seven weeks into his treatment with ipilimumab and nivolumab with five days of progressive lightheadedness, headache, nausea, non-bloody emesis, and generalized malaise. The patient had witnessed syncope in the clinic and was sent to the emergency room where he was febrile to 100.8 and […]
Abstract Number: 739
SHM Converge 2021
Case Presentation: A 67 year-old male presented to the hospital with progressive weakness, lightheadedness upon standing, and intermittent chest pain. His medical history includes hypertension and chronic back pain from spinal stenosis for which he was previously on long-term prednisone. Two months prior to admission he underwent an uncomplicated lumbar fusion with discectomy after which […]
Abstract Number: 747
SHM Converge 2023
Case Presentation: A 41-year-old male with a history of metastatic squamous cell lung cancer presented with anorexia and fatigue to the emergency department. The patient was diagnosed with metastatic squamous cell lung carcinoma one year prior and was started on Paclitaxel/Carboplatin and Nivolumab/Ipilimumab treatments. Prior to the current presentation, the patient had been experiencing palpitations […]
Abstract Number: 771
SHM Converge 2024
Case Presentation: A 69yo man was seen in preop clinic before cystoprostatectomy for a very large bladder tumor that had excellent radiographic response to pembrolizumab. His recent history was notable for an episode of witnessed syncope 5 weeks prior attributed to dehydration in the setting of baseline, long-standing intermittent episodes of SVT. Outpatient ECHO and […]
Abstract Number: 854
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 33-year-old woman with metastatic breast cancer and recent subtotal resection of a suprasellar brain metastasis presented with subacute fatigue and confusion a month after her surgery. She was oriented only to self, normotensive, with an exam notable only for mild left sided weakness, unchanged from her post-operative discharge. Admission laboratory data showed […]
Abstract Number: 861
SHM Converge 2023
Case Presentation: A 48-year-old female with a past medical history of opioid dependency and right hip arthroplasty presented with complaints of fevers and purulent drainage at her surgical site. Pertinent exam findings included fever, tenderness, and erythema on her right hip. Initial creatinine, bicarbonate, and magnesium were within normal limits. She underwent irrigation and debridement […]
Abstract Number: 889
SHM Converge 2024
Case Presentation: A 55-year-old female with a history of renal cell carcinoma treated with left-nephrectomy and Pembrolizumab-immunotherapy presents with complaints of weakness, orthostatic hypotension, nausea, and vomiting with food aversion. She had been admitted with similar complaints 9 times since her left nephrectomy, each time having received full workups including extensive sub-specialty evaluations including cardiology, […]
Abstract Number: 893
SHM Converge 2024
Case Presentation: Addison’s disease, or primary adrenal insufficiency, is a rare disorder of glucocorticoid or mineralocorticoid deficiency caused by adrenal cortex dysfunction or destruction. Since the disease gradually progresses with nonspecific symptoms, patients are often misdiagnosed or diagnosed late. Consequently, patients receive delayed treatment and are at increased risk for Addisonian crisis, which continues to […]
Abstract Number: 940
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 60-year-old man with a history of bilateral adrenalectomy for Cushing’s disease, who received hydrocortisone replacement (hydrocortisone 20 mg/day; 15 mg after breakfast and 5 mg in the afternoon) for 50 years, visited our emergency department with epigastric pain and palpitations. The symptoms manifested without any obvious cause when the patient was at […]
Abstract Number: D37
SHM Converge 2022
Case Presentation: An 81-year-old woman with a pertinent history of primary hypothyroidism and lung adenocarcinoma, treated with durvalumab, was admitted to the hospital in shock after being found lethargic, hypotensive, and hypoxic at home.Prior to admission, she developed weakness, fatigue, anorexia, vomiting, and diarrhea. She had recently been hospitalized with presumed septic shock attributed to […]