Session Type
Meeting
Search Results for Autoimmune
Abstract Number: 597
SHM Converge 2023
Case Presentation: A 38 yr. old female presented with personality and behavior changes for the last 4 months which were described as episodes of impulsivity and outbursts of anger. Patient endorsed frequent episodes of headache and confusion caused by strong odors such as spices and garlic. She had progressive short-term memory deficit, often asking same […]
Abstract Number: 598
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 77 year old Jehovah’s Witness woman presented with one month of petechial rash, epistaxis and oral mucosal bleeding. There was no recent travel or infectious illness. She denied herbal or toxic ingestions. Her exam was remarkable only for diffuse petechiae. Labwork was significant for new severe thrombocytopenia (2 K/UL), a normal peripheral […]
Abstract Number: 614
SHM Converge 2024
Case Presentation: 47 year old male with left temporal meningioma s/p resection, and recent immigration from India presented with fevers and worsening encephalopathy. CTH was unremarkable however MRI showed leptomeningeal hemispheric, brain stem, and cord signal with perivascular enhancement concerning for CNS TB however included a broad differential. He was started on empiric antibiotics for […]
Abstract Number: 617
Hospital Medicine 2020, Virtual Competition
Case Presentation: We report a case of subacute progressive cerebellar ataxia in a 56-year-old male with significant smoking history and COPD, presenting 3 weeks after the start of dizziness and gait ataxia. The patient had associated dysmetria and balance issues, which progressively worsened prompting admission to an outside hospital. There, a CT head was found […]
Abstract Number: 621
SHM Converge 2021
Case Presentation: 66-year-old Caucasian male with history of type 2 diabetes mellitus and prostate cancer presented to the emergency department with 6-week history of progressive weakness. Initially, he noted difficulty arising from a chair signifying weakness in his proximal lower extremity musculature. It then progressed to involve bilateral proximal upper extremities causing difficulty with brushing […]
Abstract Number: 643
SHM Converge 2023
Case Presentation: A 33-year-old woman presented with self-inflicted stab wounds to her neck and abdomen. Though she was initially alert and following commands, she was unwilling to provide a medical history and only shared that she had been experiencing headaches for three weeks prior to presentation.Labs were unremarkable, but CT scan on admission showed right […]
Abstract Number: 649
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Statin-induced necrotizing autoimmune myopathy (SINAM) is an immune mediated myopathy characterized by proximal muscle weakness and necrosis in the presence of autoantibodies to hydroxyl-methyl-glutaryl-coenzyme-A (HMG-CoA) reductase. It is a rare side effect of statin use that must be recognized quickly in order to prevent the development of irreversible muscle weakness. Most cases occur […]
Abstract Number: 652
SHM Converge 2023
Case Presentation: A 30 year old male presented with symptoms of intermittent episodes of chest pain with palpitations, tremors associated with night sweats, heat intolerance, and unintentional weight loss for the last 6 months. He had no significant past medical history, did not take any medications at home, and had no prior surgeries. He denies […]
Abstract Number: 669
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: The patient is a 29-year-old female with the history of acute pancreatitis and gastric bypass surgery, who initially presented with lower extremity swelling in the setting of hypoalbuminemia and protein-calorie malnutrition. She was started on high calorie/protein diet and was discharged on furosemide. Three weeks after discharge, she noticed peri-oral rash, which extended […]
Abstract Number: 669
SHM Converge 2021
Case Presentation: An 82-year-old female presented to the emergency department with a hemoglobin of 5.2 g/dL and complaints of nausea, fatigue, and progressive weakness over the past 2 months. She denied any episode of overt bleeding; no hemoptysis, hematochezia, hematuria, or bloody vaginal discharge. She also denied trauma or any recent falls. The patient’s physical […]