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Search Results for Asia
Abstract Number: 504
SHM Converge 2023
Case Presentation: A 29-year-old man was brought to our emergency department with a new-onset witnessed seizure. He was recently prescribed oral omeprazole for heartburn. He had no known medical conditions but had a family history of MEN1 in his father and paternal uncle. Initial labs showed hypercalcemia, with elevated PTH. MRI brain showed a sub-centimeter […]
Abstract Number: 542
SHM Converge 2024
Case Presentation: A 46-year-old healthy man presented with bilateral limb swelling, shortness of breath, fatigue, and orthopnea for one week. A transthoracic echocardiogram revealed a decreased ejection fraction (35-40%), severe pulmonary hypertension, diffuse hypokinesis, and significantly increased left ventricular wall thickness. Notably, he had presented with similar symptoms seven months earlier. At that time, he […]
Abstract Number: 544
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 37-year-old woman with history of ulcerative colitis and focal nodular hyperplasia (FNH) of the liver presented with right upper quadrant (RUQ) abdominal pain. An extensive workup including endoscopic retrograde cholangiopancreatography (ERCP) eventually diagnosed primary sclerosing cholangitis (PSC). However, review of systems was also significant for epistaxis. Family history was significant for father […]
Abstract Number: 548
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 37-year-old female veterinarian with past medical history of migraines was diagnosed with multiple sclerosis (MS) in December 2015. In April 2016, she was admitted with 3weeks of progressive dysphagia and 20lb weight loss. Although MRI of the brain and cervical spine obtained during admission showed no new lesions, her symptoms were initially […]
Abstract Number: 591
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 19-year-old Caucasian man, with no past medical history presented to ER with acute onset generalized muscle weakness, more pronounced in both legs, which started upon awakening in the morning. He reported 40 lbs weight loss over 2 months in spite of increased appetite. Patient denied palpitations, heat intolerance, dysphagia or change in […]
Abstract Number: 620
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: Fibro-muscular dysplasia is a segmental, non-atherosclerotic, non-inflammatory vascular disease of unknown etiology usually found in small and medium-sized arteries. Renal arteries (60–75%) are most commonly involved, followed by the cervico-cranial arteries (25–30%). FMD of cervico-cranial arteries in absence of renal artery involvement is much rarer. We present a case of symptomatic fibro-muscular dysplasia […]
Abstract Number: 626
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 52 year old African American male with past medical history of hereditary hemorrhagic telangiectasia (HHT) on aminocaproic acid presents with epistaxis and hematochezia with a hemoglobin of 6.7 g/dL. Patient was diagnosed with HHT in his mid-30s when found to be profoundly anemic with reported hemoglobin of below 3 g/dL during incarceration. […]
Abstract Number: 627
SHM Converge 2023
Case Presentation: A 62-year-old male with a history of Parkinson’s disease presented with worsening left leg pain and swelling for approximately one month. The patient denied any history of immobility, recent travel, malignancy, or history of blood clots or thrombophilic disorders. Physical exam was remarkable for massive abdominal distention and marked swelling of the entire […]
Abstract Number: 639
SHM Converge 2021
Case Presentation: A 46-year-old previously healthy female, presented to the hospital for left leg pain and swelling. She was febrile and tachycardic. Examination showed abdominal distension with a palpable firm, nontender lower abdominal mass, left lower extremity tenderness, nonpitting edema extending to upper thigh, mottled skin, and diminished pulses. Doppler showed totally occluded DVT of […]
Abstract Number: 643
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 68 year-old man with prior Agent Orange exposure in Vietnam presents with 6 months of progressive orthostatic hypotension (OH), syncope, 60 lb weight loss, and lower extremity weakness, parasthesias, and allodynia.Prior workup found mildly elevated troponin and BNP, but a normal stress test. Midodrine had no improvement in OH, and BP on […]