Session Type
Meeting
Search Results for Amyloidosis
Abstract Number: 716
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 64-year-old Pakistani man was referred to nephrology clinic for evaluation of progressive kidney disease. Relevant medical history included well-controlled type 2 diabetes mellitus, gout and hypertension. Six months prior to presentation his serum creatinine level was 2.9 mg/dL (eGFR 22 ml/min per 1.73m2), patient had been asymptomatic and had well-controlled co-morbidities without […]
Abstract Number: 774
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 55 yo African American Male with DMII, HTN, CKD, Hyperlipidemia who initially presented with worsening right leg swelling and diagnosed with an unprovoked right femoral vein non-occlusive Deep Venous Thrombosis (DVT) and occlusive thrombus of the right popliteal vein. The patient underwent tissue plasminogen activator (TPA) administration and mechanical thrombectomy. He was […]
Abstract Number: 794
Hospital Medicine 2020, Virtual Competition
Case Presentation: Patient is a 76 year-old male with a significant background of ischemic heart disease with reduced ejection fraction, pyloric and duodenal ulcers, and chronic kidney disease attributed to chronic glomerulonephritis (not biopsy-proven). He presented with hematemesis and melena. Esophagogastroduodenoscopy revealed multiple gastric ulcers that were negative for Helicobacter pylori. Histology from the gastric […]
Abstract Number: 797
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 67-year-old Fijean woman presented to the emergency department with three weeks of fevers, chills, weakness, watery non-bloody diarrhea, and unintentional 15lb weight loss. She had no recent travel, sick contacts, changes in dietary habits, antibiotic use, or initiation of new medications. Physical exam was significant for epigastric tenderness and hepatomegaly. Her laboratory […]
Abstract Number: 815
SHM Converge 2024
Case Presentation: 73 year old male veteran with hypertension and stroke presents with progressive anasarca and dyspnea. The patient’s blood albumin level was < 1 g/dL, and his urine protein to creatinine ratio was > 5.5 grams per day, leading to a diagnosis of nephrotic syndrome. Renal biopsy revealed Immunoglobulin Light-Chain (AL) Amyloidosis. He responded […]
Abstract Number: 817
SHM Converge 2023
Case Presentation: A 72-year-old female with chronic kidney disease and recently diagnosed IgG lambda monoclonal gammopathy presented to clinic with six months of progressive weakness and failure to thrive. She reported breathlessness after several steps, a 10-kilogram weight loss, frequent falls, lightheadedness, easy bruising, and dysphagia. There was concern for light chain (AL) amyloidosis, before […]
Abstract Number: 826
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 65 year-old man with a past medical history of CAD s/p CABG, ischemic cardiomyopathy with EF 35%, bicuspid aortic valve stenosis s/p aortic valve replacement, and asbestosis presented to the ER for evaluation of anterior neck swelling, dyspnea on exertion, dysphagia, and a 30 lb unintentional weight loss over 5 months. On […]
Abstract Number: 826
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 39-year-old Bulgarian man, recently diagnosed with non ischemic cardiomyopathy was transferred to our hospital due to upper gastrointestinal bleeding. The patient reports seven months of intermittent hematemesis that worsened after two significant episodes of vomiting bright red blood. The patient became hemodynamically unstable in spite of aggressive fluid resuscitation and blood transfusion, […]
Abstract Number: 841
Hospital Medicine 2020, Virtual Competition
Case Presentation: WF, an 88-year-old man with advanced, wild-type transthyretin-associated (ATTR) cardiac amyloidosis (on tafamidis) complicated by distal conduction disease and heart failure with preserved ejection fraction, presented with syncope and was admitted to the cardiac critical care unit for symptomatic, bradycardic atrial fibrillation. A continuous dopamine infusion was started with resolution of symptoms and […]
Abstract Number: P28
SHM Converge 2022
Case Presentation: A 64-year-old female with hereditary transthyretin amyloidosis (hATTR) and hypothyroidism presented with three days of dull pain localized bilaterally to the biceps femorum, recurrent emesis, and anorexia. Her past medical history includes complications of hATTR (being treated with patisirtan and tafamidis); polyneuropathy, small bowel enteropathy, and cardiomyopathy with associated recent bioprosthetic mitral and […]