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Abstract Number: 359
SHM Converge 2023
Background: Islam is the second-largest religious tradition in the world, with approximately 3.45 million members in the United States. New York State has the third largest Muslim population and recent data estimates 20,000 to 25,000 Muslims reside in the greater Rochester area. During the month of Ramadan, all Muslims who are physically capable are obligated […]
Abstract Number: 360
SHM Converge 2021
Case Presentation: A 29-year-old male presented with a 1-week history of dyspnea, cough, fever, fatigue, myalgia, and chest pain. Medical history included hepatitis C and intravenous drug use with meth, heroin, and suboxone. His last use was 1 week prior to presentation with IV suboxone. Pertinent surgical history consisted of bioprosthetic mitral valve replacement x2. […]
Abstract Number: 409
SHM Converge 2021
Case Presentation: A 33-year-old obese woman with no significant past medical history initially presented to her primary care physician with fevers, pharyngitis, rash, malaise, and myalgias for ten days. Her rash was patchy, nonpruritic and worsened with her high spiking fevers. The rash progressed in a centrifugal pattern. She had also developed significant arthralgias in […]
Abstract Number: 450
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: 43 year old male with history of HTN and HLD presented to the emergency room with abdominal pain, nausea, vomiting, and tongue numbness two hours after ingesting one centimeter of “Jamaican stone”. He reported more than ten episodes of non-bloody, non-bilious emesis. He denied chest pain, shortness of breath, headache, fevers or chills. Vital […]
Abstract Number: 470
SHM Converge 2024
Case Presentation: Asenapine is widely acknowledged as a well-tolerated medication, exhibiting only infrequent severe adverse events1. The necessity of liver enzyme testing remains a topic without a unanimous consensus2. This case study discusses a patient who experienced significant liver damage upon initiating asenapine. As far as our understanding goes, this represents the initial documented instance […]
Abstract Number: 517
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 74-year-old female, with no significant past medical or travel history, developed sepsis 2 days after undergoing debulking surgery for stage IIIc ovarian carcinoma. Blood cultures were positive for gram-negative bacilli and the organisms identified as Enterobacter spp. with blaIMP MBL (Verigene). Antimicrobial susceptibility testing demonstrated high-level resistance to all penicillins, ureidopenicillins, cephalosporins, […]
Abstract Number: 526
SHM Converge 2024
Case Presentation: A 73-year-old female with a history of ascending aortic aneurysm repaired by ascending aortic replacement with hemi-arch replacement in June presented in July for symptomatic low home blood pressure readings. Her workup incidentally revealed an absolute eosinophil count (AEC) of 1800/µL with thrombocytosis (726 x1000/µL) and mild leukocytosis (11.5×1000/µL). Repeat testing demonstrated a […]
Abstract Number: 557
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 32 year-old female without significant medical history presented with nausea and vomiting, 1 week after being a pedestrian struck by a vehicle. The original accident caused loss of consciousness, and post-concussive syndrome headaches, but no significant injuries, fractures or internal bleeding. Upon re-admission, she was orthostatic positive. She was lethargic, with a […]
Abstract Number: 600
SHM Converge 2024
Case Presentation: A 66-year-old man with history of atrial fibrillation, heart failure, hepatocellular carcinoma (HCC), bipolar disorder, and gout presented with lightheadedness and a syncopal episode with tremulousness and confusion. His reported medications included apixaban, carvedilol, risperidone, and allopurinol. Vitals were notable for tachycardia but otherwise normal. Physical exam was notable for irregularly irregular heart […]
Abstract Number: 612
SHM Converge 2021
Case Presentation: The patient is a 38-year-old Caucasian female who was diagnosed with Stage IIIb malignant melanoma. The excision of the left scapular lesion and axillary dissection was performed. Baseline 18F-FDG PET scan showed no evidence of metastatic disease. After the 5th cycle of Nivolumab treatment, the patient developed 38 ºC fever and grade 2 […]