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Meeting
Search Results for Anca
Abstract Number: 604
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 40-year-old male of Hispanic/Asian origin with a history of diabetes mellitus type II, hypertension, dyslipidemia, recurrent sinusitis and bilateral otitis media presented to the emergency department complaining of acute hand joints pain, nasal congestion and left ear pain. On physical examination, he appeared fatigued with no acute distress. He had prominent sinus […]
Abstract Number: 621
Hospital Medicine 2020, Virtual Competition
Case Presentation: An 86 years old male with a history of pulmonary fibrosis, HTN, CHF, RA, valve replacement presented after left eye transient visual loss and exertional dyspnea. He reported an episode of painless vision loss in the left eye, felt like a grey curtain was pulled down over his left eye and lasted about 30 seconds. He […]
Abstract Number: 624
SHM Converge 2021
Case Presentation: We present a 79-year-old female treated with hydralazine for essential hypertension who initially presented to her primary care office with non-specific complaints of malaise, chills and unintentional weight loss. Routine laboratory evaluation was performed indicating a substantial rise from the patient’s baseline creatinine of 0.86mg/dL to 2.15mg/dL. Follow-up labs indicated continued worsening of […]
Abstract Number: 638
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 64-year-old male with past medical history of hypertension (HTN), hyperlipidemia, coronary artery disease, and end stage renal disease, secondary to HTN, on hemodialysis presented with a 3-day history of nonproductive cough and malaise with no other associated symptoms. On admission vital signs were within normal limits; physical exam revealed decreased breath sounds […]
Abstract Number: 644
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitides are systemic autoimmune diseases affecting small blood vessels. The clinical signs and symptoms of ANCA vasculitis are nonspecific and may include multisystem manifestations. As a result, many conditions mimic ANCA-associated vasculitis, making the diagnosis challenging. We report a case of ANCA-positive vasculitis presenting as rapidly progressive glomerulonephritis that was initially […]
Abstract Number: 656
SHM Converge 2024
Case Presentation: A 79-year-old female nonsmoker with chronic bronchiectasis on 3 liters of home oxygen presented with worsening shortness of breath. The patient’s baseline creatinine (cr) was 0.85 mg/dL, eGFR 60, and she was admitted with cr of 2.2 mg/dL. Urinalysis showed proteinuria, pyuria, hematuria with few bacteria, with new onset anemia (Hgb 7.8) on […]
Abstract Number: 662
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: KW is a 64 year old female with chronic obstructive pulmonary disease and hypertension who presented with progressive dyspnea in the setting of cardiac tamponade, but with persistent hypoxic respiratory failure despite pericardiocentesis. One week after initial presentation, a test returned positive for p-ANCA with anti-myeloperoxidase (anti-MPO) by immunofluorescence and ELISA. Lupus anticoagulant […]
Abstract Number: 667
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: The prevalence of cocaine use is growing worldwide. Damaging effects of cocaine on the cardiovascular, neurologic, and pulmonary systems are well-established. In recent years, evidence has emerged for cocaine-induced damage to other organs, such as the liver and kidney. This is a case of end-organ damage from regular cocaine use. A 65-year-old man […]
Abstract Number: 721
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 59 year-old female with past medical history of Hashimoto’s thyrotoxicosis was admitted because of fatigue, myalgia, acute renal injury with hematuria and proteinuria, positive p-ANCA, positive stool guaiac test, and elevated inflammatory markers. She also had a head CT and MRI done for a new onset of left foot numbness and both […]
Abstract Number: 746
SHM Converge 2023
Case Presentation: An 82-year-old female with diastolic heart failure presented with one-month worsening dyspnea on exertion and a week of scant hemoptysis and fatigue. She denied tuberculosis risk factors, night sweats, fevers, or skin, joint, or urinary changes. She was fully vaccinated against COVID-19. Her medications included aspirin and hydralazine. Her past medical, surgical, and […]