Session Type
Meeting
Search Results for Deficiency
Abstract Number: 489
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 43-year-old male with roux-en-y gastric bypass fourteen years ago with complications and multiple adhesions, hiatal hernia associated with nausea and vomiting, and subsequent small bowel resection last year, started to experience cognitive changes and short-term memory loss. He has also experienced problems with balance, generalized weakness, and unintentional 60-pound weight loss. His […]
Abstract Number: 495
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 57 year-old African-American male with past medical history of osteoarthritis, opioid dependence secondary to arthralgia, and chronic bilateral lower extremity venous thrombi secondary to both protein C and protein S deficiency, presented with acute altered mental status resulting from synthetic cannabinoid intoxication. The pain was so severe; he was only able to tolerate […]
Abstract Number: 505
SHM Converge 2021
Case Presentation: A 46-year-old male from Nigeria with no medical history presented to the emergency department (ED) with 5 days of dark urine, decreased oral intake, weakness, and abdominal pain. On exam, the patient was tachycardic, jaundiced, and had normal oxygen saturation. Labs revealed a leukocytosis, acute kidney injury (AKI), and a precipitous drop in […]
Abstract Number: 505
SHM Converge 2023
Case Presentation: 62-year-old male with a PMH notable for recurrent epistaxis, bleeding post-dental procedures & IDA since childhood on & off oral iron supplementation presented to the hospital with a traumatic head injury resulting in a SAH/SDH. Initial laboratory work found normocytic anemia & severe thrombocytopenia (TCP) – 25 X 10E+09/L . CT abdomen & […]
Abstract Number: 514
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 34 year old male with a history of CVID subclass 2 and 4, with low IgG level, absent IgA, liver nodular regenerative hyperplasia with portal hypertension, and immune thrombocytopenic purpura status post splenectomy presented with a month of nonproductive cough, mild episodes of hemoptysis, and shortness of breath. Physical exam revealed peripheral […]
Abstract Number: 515
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 21-year-old female with history of IgG immune deficiency requiring intravenous immunoglobulin transfusions from the age of 12-17 presented to our service with one-week complaint of dizziness and fatigue. At presentation, she reported dyspnea, chest pain, intermittent palpitations, and nausea. She had had a brief pre-syncopal episode and an episode of nausea and […]
Abstract Number: 515
SHM Converge 2021
Case Presentation: A 48-year-old female with no known medical history presented after a syncopal episode and one week of malaise and fatigue. She was diagnosed with high output heart failure complicating severe pulmonary hypertension. Hemoglobin was 2.7 g/dL with MCV of 50 fL. She denied menorrhagia, melena, hematuria or hematemesis as well as weight loss […]
Abstract Number: 524
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 75 year old woman with past medical history of hypothyroidism presented with weakness and the sensation of “large folds of skin” on the bottom of her feet. Pertinent physical exam findings included conjunctival pallor, nonspecific diffuse abdominal tenderness, and hyperpigmented macules of the dorsal finger tips and soles, which were also new […]
Abstract Number: 552
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 66-year-old male with history of type 1 Von Willebrand disease, colonic polyps, and gastric ulcer from naproxen use due to osteoarthritis presented with a 3-week history of lethargy and fatigue with walking short distances. He denied melena or hematemesis but did report consistent ibuprofen use for his osteoarthritis over the past few […]
Abstract Number: 566
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 39-year old female with a history of alcohol abuse presented with an eight-day history of numbness involving her bilateral lower extremities and hands which had progressed proximally to involve her chest wall. She reported perioral and perianal numbness, lethargy and difficulty ambulating. Examination was significant for decreased sensation in a glove-stocking distribution, […]