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Search Results for Bone
Abstract Number: 691
SHM Converge 2021
Case Presentation: A 20-year-old man with untreated HIV was admitted due to severe thrombocytopenia. He reported diarrhea, episodes of epistaxis and hemoptysis, night sweats and weight loss for past 3 months. Physical exam was significant for scattered, brown papules and plaques on all extremities. CD4 count was > 400 cells/mm3. CT scan of chest showed […]
Abstract Number: 695
SHM Converge 2024
Case Presentation: A 66-year old woman with a history of obesity and hypertension presented with a right femoral neck fracture after a mechanical fall. She underwent a right total hip arthroplasty and the anesthesiologist reported transient intraoperative hypoxia during cement placement. In the recovery room, the patient was hypotensive, tachycardic and hypoxic requiring up to […]
Abstract Number: 750
SHM Converge 2024
Case Presentation: 69 y/o female presents to the emergency department with acute on subacute low back pain in the setting of fall 12 weeks prior. Treated outpatient with conservative therapy including topicals, NSAIDs, tramadol, Flexeril and physical therapy. PMH of asthma, migraines, breast cancer in remission (s/p lumpectomy, chemotherapy and radiation in 2015, last annual […]
Abstract Number: 791
SHM Converge 2024
Case Presentation: A 75-year-old man with recurrent well-differentiated liposarcoma on Palbociclib s/p multiple tumor resections and recent cryoablation of a right retrocaval lesion 6 weeks prior, presented with 5 weeks of worsening right flank pain, decreased appetite, and 25-pound unintentional weight loss. He was afebrile with normal vitals. He had petechiae on his palate. Labs […]
Abstract Number: 843
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 32-year old female with complicated past medical history of intravenous drug use, mitral valve endocarditis status/post repair, and recent diagnosis of Immune thrombocytopenia (ITP) was transferred from another hospital for management of severe thrombocytopenia refractory to Intravenous Immunoglobulin (IVIG) and steroids. She had initially presented with intermittent high-grade fevers and fatigue without […]
Abstract Number: 856
SHM Converge 2024
Case Presentation: Ghosal hematodiaphyseal dysplasia (GHDD) is a rare autosomal recessive disorder presenting with myelophthisic anemia and distinctive bony changes. TBXAS1 gene encodes Thromboxane A synthase. In GHDD, dysregulation of TBXAS1 occurs and this increases prostaglandin synthesis and causes direct bone marrow injury. Here we report, a 31-year-old Southeast Asian female presented with bilateral knee […]
Abstract Number: B34
SHM Converge 2022
Case Presentation: A 56-year-old male with type II diabetes presented to the hospital with 3 weeks of oral ulcers involving the left buccal region with spread to the palate and tongue. He also reported odynophagia, poor oral intake, and 40-lb weight loss. He had not responded to outpatient amoxicillin, fluconazole, and nystatin swish and swallow. […]
Abstract Number: 1108
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 60-year-old woman with a history of diabetes, hypertension, and sleep apnea presented to the hospital with acute onset shortness of breath. Several months prior, she had undergone dental extraction that was complicated by poor wound healing. Unusually, the surgeon noted pus from the site of extraction but when further analyzed, it was […]