Session Type
Meeting
Search Results for B12
Abstract Number: 635
SHM Converge 2021
Case Presentation: A 45-year old male was escorted to our tertiary medical center from a prison for evaluation of 40 lb weight loss, paraplegia and recently developed urinary and fecal incontinence. The patient had been on a 7-month long hunger-strike, during which he only consumed one meal per day. In addition to incontinence, he reported […]
Abstract Number: 675
SHM Converge 2024
Case Presentation: A 27-year-old male without medical history presented with paresthesias in his hands and feet, and numbness and instability from his waist down for 4 days. The patient initially denied any illicit substances, had no dietary restrictions, and no known medical problems in the family. Cervical MRI revealed T2 dorsal column hypersensitivity consistent with […]
Abstract Number: 681
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 79-year-old male presented to the emergency department after a witnessed episode of unresponsiveness, jerking motions, urinary incontinence and post-ictal confusion. The patient’s wife denied a history of epilepsy but reported several months of progressive dysarthria and gait ataxia, for which he had been evaluated nine months earlier. Work-up was negative for hemorrhage, […]
Abstract Number: 689
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 58 year old African-American female child-care worker with history of GERD presented with symptomatic anemia. She was in her usual state of health until ten days prior to presentation, when she had several days of GI illness consisting of abdominal pain and diarrhea. Her symptoms self-resolved, only with residual mild epigastric abdominal pain. […]
Abstract Number: 696
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: 62 y.o. Male with a family history of leukemia and a personal history of diabetes, and hypertension presented with 3 months of SOB, fatigue, and weakness. He noted his symptoms worsened with physical activity, but denied any leg swelling, orthopnea, PND, or chest pain. Denied any history of rectal bleeding, drinking, or recent viral […]
Abstract Number: 700
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 38-year-old Hispanic female with chronic constipation, anemia and numerous transfusions secondary to uterine bleeding presented to the emergency department with a two-week history of worsening bilateral lower extremity ascending numbness and weakness extending to her abdomen causing her difficulty with walking. She reported blurry vision, headaches, difficulty breathing, and 24 hours of […]
Abstract Number: 706
SHM Converge 2024
Case Presentation: A 17 year-old male with a history of marijuana and nitrous oxide use presented with 4 days of paresthesia in his bilateral lower extremities, sudden onset-ataxia, gait instability, and genital numbness extending to his extremities. Comprehensive infectious and neurologic workup for Guillain-Barré syndrome, transverse myelitis, and other neuropathies all returned negative. Magnetic resonance […]
Abstract Number: 731
SHM Converge 2024
Case Presentation: A 23-year-old male with no past medical history presented with neck pain and bilateral arm paresthesia of four-week duration. The patient was prescribed ibuprofen, and an MRI cervical spine was ordered. The MRI showed multilevel degenerative disc disease, and the patient was referred to physical medicine and rehabilitation. In the weeks prior to […]
Abstract Number: 781
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 52-year-old African American male with a past medical history of gastric ulcer presented to the emergency department with progressively worsening exertional dyspnea and fatigue over the past two months. Physical examination was significant for a heart rate of 105 bpm and icteric sclera. Pinprick and vibratory sensations over bilateral lower extremity were […]
Abstract Number: 819
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 29 year old Hispanic male with no significant past medical history presented to the Emergency Department with new onset jaundice. He also endorsed a constellation of symptoms for several months including weight loss, progressive fatigue, frequent headaches, decreased appetite, daily nausea with occasional emesis, and dark urine. He was not taking any […]