Session Type
Meeting
Search Results for B12
Abstract Number: 854
SHM Converge 2023
Case Presentation: A previously healthy 27-year-old man presented with one week of generalized weakness and lightheadedness upon standing. He works in construction (installing fireplaces) but had been unable to work during the last week due to symptoms. On presentation, he was tachycardic with HR 120; vital signs were otherwise normal. Exam was notable for significant […]
Abstract Number: 894
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 33 year-old US born woman with iron deficiency anemia presented after one episode of pre-syncope. She reported 3 weeks of progressive fatigue, shortness of breath, and pain in the chest, back, and hips. She denied abdominal pain, menstrual abnormalities, sick contacts, recent trauma, and blood disorders or malignancy in her family. She […]
Abstract Number: C27
SHM Converge 2022
Case Presentation: A 32 year old male presented to the emergency department unresponsive. Three months prior he had developed urinary incontinence, cognitive impairments, paresthesias in his extremities and weakness requiring crutches. His symptoms progressed leaving him bed bound weeks prior to arrival. EMS was contacted when he became unresponsive to verbal-noxious stimuli and exhibited difficulty […]
Abstract Number: H25
SHM Converge 2022
Case Presentation: A 40 year-old female presented to the Emergency Department with several months of fatigue followed by acute fever and confusion. She denied weight loss, swollen glands, cough, rash, arthralgias, or myalgias. No drug or alcohol use. She was febrile to 102.5F. The remainder of the vital signs were normal, and the neuro exam […]
Abstract Number: H34
SHM Converge 2022
Case Presentation: A 39-year-old male with no past medical history presented with four days of a constant “pins and needles” sensation located from fingertips through elbows bilaterally as well as progressive shortness of breath and fatigue. He reported feeling unbalanced and light-headed. Additionally, for seven months he experienced confusion including word finding difficulties. Further history […]
Abstract Number: J39
SHM Converge 2022
Case Presentation: A 49-year-old vegetarian male (on supplements with vitamin B12) with recent myocardial infarction (MI) presented with 8-months of worsening neurological symptoms beginning as paresthesias progressing to cognitive decline and gait instability. Physical exam was significant for poor recall, inability to perform basic calculations, impaired proprioception in the right lower extremity, sensory ataxia in […]
Abstract Number: 1059
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 68 year old female patient presented to the emergency department after being found down at her house. On exam she was found to be confused and disoriented. Lab work showed severe pancytopenia, and elevated bilirubin with no associated elevation of LFTs. She was transfused with 2 units of packed red blood cells […]