Session Type
Meeting
Search Results for Cytopenia
Abstract Number: 860
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 41-year old-woman with history of Hashimoto’s thyroiditis was transferred from referring hospital (OSH) for persistent thrombocytopenia. Patient was well until one month prior to presentation, when she presented for right upper quadrant (RUQ) pain. The patient was diagnosed with gallstone cholecystitis and underwent laparoscopic cholecystectomy. At the time of her surgery, she […]
Abstract Number: 896
SHM Converge 2024
Case Presentation: A 66 year old female with a past medical history of hypertension (HTN), hyperlipidemia (HLD) and coronary artery disease (CAD) presented to the hospital for an elective three-vessel coronary artery bypass graft involving the left internal mammary artery to left anterior descending artery, saphenous vein graft (SVG) to the obtuse marginal artery, and […]
Abstract Number: 902
SHM Converge 2024
Case Presentation: A 29-year-old female Jehovah’s Witness presented with three weeks of easy bruising in the absence of trauma. She also noticed heavier and prolonged menstrual flow associated with fatigue and dizziness. She denied medication use, febrile illnesses or neurologic symptoms. Vital signs were normal. Physical exam revealed multiple ecchymoses on bilateral upper and lower […]
Abstract Number: 936
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: 63 year old female with RA on methotrexate presented with a 2 week history of fevers (Tmax of 102), nausea, and multiple episodes of diarrhea. The patient denied any recent travel, sick contacts, or antibiotic use. On admission, CT abdomen/pelvis showed extensive enterocolitis as well as thrombocytopenia with platelets of 128K. Stool GI […]
Abstract Number: 965
Hospital Medicine 2020, Virtual Competition
Case Presentation: Idiopathic CD4 lymphocytopenia (ICL) is a disease characterized by persistently low CD4 T-cell counts without HIV infection or any other discernible cause of T-cell suppression. Individuals with ICL are at increased risk of opportunistic infections, lymphomas, and autoimmune diseases. Diagnosis can be difficult, and prognosis can vary widely depending on the diseases that […]
Abstract Number: A25
SHM Converge 2022
Case Presentation: A 3-month-old male of Asian descent with a past medical history of congenital CMV and right-sided sensorineural hearing loss presented to the ED with two days of GI bleeding tendencies, easy bruising, and diffuse rash. The patient was otherwise healthy with normal appetite and vital signs. He had no falls, traumas, or sick […]
Abstract Number: A30
SHM Converge 2022
Case Presentation: A 19-year-old male with recent diagnosis of human immunodeficiency virus (HIV) (CD4 580/mm³ and viral load 1.2 million/mm³) and Kaposi sarcoma (KS) was transferred to our hospital for refractory thrombocytopenia. Prior to his presentation, he experienced a month of fatigue, night sweats, weight loss, and facial and neck swelling. His outside hospital workup […]
Abstract Number: A35
SHM Converge 2022
Case Presentation: 39-year-old African American male presented with dyspnea and hematuria for one week. His past medical history includes stage 3 CKD and hypertension. In the emergency room he was found to be severely hypertensive with systolic blood pressures hovering around 240 mmHg. Initial laboratory tests revealed significantly elevated creatinine level from baseline and new-onset […]
Abstract Number: A37
SHM Converge 2022
Case Presentation: A 46-year-old male with no known past medical history presents with worsening chronic cough of one-year duration. He also reports shortness of breath and increasing fatigue during the same timeframe. On presentation, he is noted to have numerous umbilicated facial lesions that are actively bleeding. He was febrile to 103F, tachycardic to 130s, […]
Abstract Number: A43
SHM Converge 2022
Case Presentation: We describe a 55-year-old lady who presented with a three-day-history of right-sided ptosis, and ophthalmology. She also reported diplopia, subjective fevers, anorexia, and an unintentional weight loss of five pounds over the preceding ten days. She denied headaches, nausea, and vomiting. Her medical problems include HIV, on highly aggressive antiretroviral therapy, history of […]