Session Type
Meeting
Search Results for Arthritis
Abstract Number: 492
SHM Converge 2024
Case Presentation: A 72-year-old female with rheumatoid arthritis, ILD, hypertension, hypothyroidism, iron deficiency anemia, and monoclonal paraproteinemia presented with 3-day history of progressive dyspnea and productive cough and was admitted for acute hypoxic respiratory failure initially requiring 3 L/minute oxygen via nasal cannula (NC). The remaining vital signs were stable. Exam revealed rales at right […]
Abstract Number: 494
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 29-year-old previously healthy male presented with acute symmetrical joint pain with swelling, back pain, headache, and photophobia. He had no established past medical history and his social history was unremarkable. He was febrile with an examination significant for upper and lower extremity joint tenderness, warmth, and joint swelling in his hands, feet, […]
Abstract Number: 495
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 57 year-old African-American male with past medical history of osteoarthritis, opioid dependence secondary to arthralgia, and chronic bilateral lower extremity venous thrombi secondary to both protein C and protein S deficiency, presented with acute altered mental status resulting from synthetic cannabinoid intoxication. The pain was so severe; he was only able to tolerate […]
Abstract Number: 500
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 76-year-old man with seropositive RA treated with MTX 15-20mg weekly for at least four years presented to the hospital with worsening fatigue, generalized weakness, poor appetite, and dyspnea. Contrast-enhanced computed tomography of chest abdomen and pelvis (CT CAP) demonstrated numerous pulmonary nodules, centrally hypodense left retroperitoneal soft tissue masses which may represent […]
Abstract Number: 512
SHM Converge 2021
Case Presentation: A 41- years- old male with no medical problems but daily alcohol and tobacco abuse developed sudden right and then left foot pain with swelling 2 weeks before admission. Diagnosis of gout was diagnosed at another hospital and he was treated with steroids with no symptom relief; the right wrist swelling prompted empiric […]
Abstract Number: 537
SHM Converge 2021
Case Presentation: A 50-year-old Latin-American woman with a history of hyperthyroidism presented to the ED with migrating polyarthralgias and fever for several days. 3 months prior, patient began experiencing stiffness, joint pains, fatigue, and palpitations. She was ultimately diagnosed with hyperthyroidism and started on Methimazole 1 month prior to current presentation. Patient presented to the […]
Abstract Number: 544
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 55-year-old woman, with benign past medical history presented with a two-week of low-grade fevers and erythematous papules that evolved into small discrete honey-colored crusted plaques and pustules on her face. She was initially treated with antibiotics for presumed bacterial infection. She had been on Doxycycline for over a week for management of […]
Abstract Number: 544
SHM Converge 2023
Case Presentation: A 76-year-old white woman with a past medical history of RA, being treated with MTX, sarilumab, and folic acid supplementation, presented to the hospital for worsening pain and lethargy. Physical exam displayed dry mucous membranes, ulcerations throughout the oropharynx, and purple digits from distal interphalangeal joints to the fingernails bilaterally. Additionally, she was […]
Abstract Number: 599
SHM Converge 2023
Case Presentation: A 55-year-old woman with a history of rheumatoid arthritis presented for generalized weakness, dysuria, nausea, and dizziness of 1 week duration. She developed progressive weakness with associated decreased exercise tolerance, nausea, and diarrhea. Her oral intake decreased. There was no inciting event and did not note any recent close contacts with similar symptoms.Her […]
Abstract Number: 600
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 66 year old female with a history of RA, diabetes mellitus, and deep vein thrombosis, presented to ED with tachycardia and hypoxic respiratory failure requiring 5 liters of oxygen. Physical exam was notable for somnolence, decreased bilateral lower lobe breath sounds, swan neck deformity of the digits, and ulnar deviation. Chest radiograph revealed […]