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Search Results for Bleed
Abstract Number: 460
SHM Converge 2023
Case Presentation: Acquired Hemophilia A (AHA) is a rare disease, with 1 to 2 cases per million, and occurs due to production of autoantibodies that inhibit Factor VIII, a vital step of the intrinsic coagulation cascade, resulting in the potential for lethal bleeding. Here we present a case of a 59-year-old woman with history of […]
Abstract Number: 461
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: Ms. S is a 64 year old woman recently diagnosed with multiple myeloma following a hip fracture and repair, who was transferred from an outside hospital for hematochezia. She was admitted to the outside hospital from a skilled nursing facility for presumed post-operative ileus complicated by nausea and vomiting. During that stay, she […]
Abstract Number: 462
SHM Converge 2023
Case Presentation: A 63 year old male with no past medical history was admitted with five months of bilateral upper and lower extremity weakness as well as a pruritic, erythematous rash on his face, arms, and back. This was followed by progressive dysphagia. Initial workup, including a pectoralis muscle biopsy showing necrotizing myopathy, and MRI […]
Abstract Number: 487
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: 59 year old female presented to the emergency department complaining of two weeks of atraumatic, painful bruising to her lower extremities, right shoulder, and lower back. She was unable to bear weight on her right lower extremity due to pain. She denied any history of anticoagulant or antiplatelet usage, and denied any family […]
Abstract Number: 491
SHM Converge 2024
Case Presentation: An 80-year-old female with a past medical history of atrial fibrillation on daily aspirin, previously managed with Eliquis but discontinued due to multiple GI bleeds of unknown origin, and unexplained leukocytosis up to 61.67K, transferred to an academic hospital from a community hospital for two episodes of hematochezia and symptomatic anemia with a […]
Abstract Number: 498
SHM Converge 2023
Case Presentation: A 63-year-old male with severe COPD (on 3L NC at baseline), coronary artery disease, obesity, and history of tobacco abuse initially presented to the emergency room with chest pain after a fall. A chest x-ray revealed multiple rib fractures. He had worsening hypoxia over the next few days, and a CT chest revealed […]
Abstract Number: 540
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 94-year-old Female with chronic kidney disease (stage 4), recurrent urinary tract infections (UTIs), and hypertension presented with a 3 day history of worsening general weakness, left thigh soreness, and a left thigh hematoma which was noted by the home health aide. The patient had a hospitalization 1 month prior in which she […]
Abstract Number: 544
SHM Converge 2023
Case Presentation: A 76-year-old white woman with a past medical history of RA, being treated with MTX, sarilumab, and folic acid supplementation, presented to the hospital for worsening pain and lethargy. Physical exam displayed dry mucous membranes, ulcerations throughout the oropharynx, and purple digits from distal interphalangeal joints to the fingernails bilaterally. Additionally, she was […]
Abstract Number: 545
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: An 80-year-old man with a past medical history of chronic lymphocytic leukemia, coronary artery disease, diabetic chronic kidney disease and heart failure reduced ejection fractionwith two months of intermittent hematochezia. Since onset of symptoms, the patient had required nine transfusions. His admission exam was remarkable for jugular venous distension, trace ankle edema, a […]
Abstract Number: 557
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 32 year-old female without significant medical history presented with nausea and vomiting, 1 week after being a pedestrian struck by a vehicle. The original accident caused loss of consciousness, and post-concussive syndrome headaches, but no significant injuries, fractures or internal bleeding. Upon re-admission, she was orthostatic positive. She was lethargic, with a […]