Session Type
Meeting
Search Results for Autoimmune
Abstract Number: D42
SHM Converge 2022
Case Presentation: A 60-year-old African American male with a recent diagnosis of thromboangiitis obliterans (Buerger’s disease) presented with new painful penile and scrotal ulcerations in the setting of digital ischemia, palmar skin lesions, bloody diarrhea, a 50-pound weight loss, and progressive dyspnea over the past six months. No vascular etiology for ischemia was found. Labs […]
Abstract Number: F42
SHM Converge 2022
Case Presentation: We present a case of a 46-year-old Filipina female with SLE and ITP who presented with new hypoxemia and a 6-month history of dry cough, dyspnea, and a 20lb weight loss. The patient had emigrated to the United States in 2002 and worked as an OR nurse. She had received the BCG vaccine […]
Abstract Number: I26
SHM Converge 2022
Case Presentation: A 77-year-old female was admitted with a 3-week history of pruritus and a 1-week history of jaundice and fatigue. Patient had not used any new medications, except for recently prescribed ACE inhibitors. There was no history of alcohol abuse or liver disease and no recent sick contacts. Other medical conditions are type 2 […]
Abstract Number: K46
SHM Converge 2022
Case Presentation: A 40-year-old male with a biopsy-proven, signal recognition particle (SRP) positive necrotizing autoimmune myositis (NAM) being treated with abatacept, presented to the hospital with a two-day history of worsening shortness of breath. On arrival to the hospital, vital signs were remarkable for a heart rate of 170/ min. The physical exam was unremarkable. […]
Abstract Number: L44
SHM Converge 2022
Case Presentation: A 23-year-old male with past medical history significant for recovered COVID 19 pneumonia one year prior presented to the Emergency Department with a chief complaint of shortness of breath with exertion that was gradually worsening. He endorsed increased weakness, fatigue, and pallor over a similar time span. The onset was two weeks prior. […]
Abstract Number: P27
SHM Converge 2022
Case Presentation: A 66-year-old male with hypertension, type 2 diabetes, hyperlipidemia, pulmonary emboli with +lupus anticoagulant, and intrathecal morphine pump presented for increasingly frequent episodic altered sensorium. Episodes were described as < 30 seconds of paresthesia, speech arrest, and déjà vu; no loss of consciousness or focal deficits. Onset was 2-3 months prior with associated […]
Abstract Number: 1024
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 27 y/o M presented after an episode of confusion and abnormal behavior. Patient reported 1 week of intermittent headaches, nausea, emesis, and dizziness. He had no sick contacts or recent travel. Family history was significant for SLE. On exam he had diffuse weakness but was otherwise neurologically intact without meningeal signs. Initial […]
Abstract Number: 1120
Hospital Medicine 2020, Virtual Competition
Case Presentation: 60-year-old gentleman with a history of autoimmune hemolytic anemia presented to emergency department with acute onset of severe left leg pain, edema, and cyanosis. On examination of his left leg, pulses were not palpable distal to posterior tibialis but motor functions remained intact. There were no blebs or bullae noted. He was requiring […]
Abstract Number: 1142
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 46-year-old woman with no past medical history presented with right upper quadrant pain, jaundice, and pruritus after undergoing a liver biopsy at an outside hospital. At the outside hospital, she had these same symptoms with hyperbilirubinemia and transaminitis. HIDA scan was negative. The liver biopsy showed marked portal and pan-lobular inflammatory infiltration […]
Abstract Number: 1171
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 17yo female with sickle cell disease (SCD; HbSS genotype) presented with pain crisis and acute chest syndrome. She was treated with appropriate antibiotics (ceftriaxone/cefdinir and azithromycin). During the first few days of her hospitalization, she required 2 pRBC transfusions for down trending hemoglobin (Hb) and low reticulocyte count. On hospital day 11, […]