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Search Results for Deficiency
Abstract Number: 947
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 32 years of male with membranoproliferative glomerulonephritis (MPGN) on immunosuppression presented with complaints of fever, abdominal pain and diarrhea. His stool had many WBCs, C. diff was negative and CT of the abdomen revealed enterocolitis. His anaerobic blood culture bottles grew Salmonella group from the nonTyphi subtypes. Further history disclosed that he […]
Abstract Number: E44
SHM Converge 2022
Case Presentation: A 53 year old male Missouri resident with a prior history of intravenous drug use, traumatic subdural hematoma, seizure disorder and a diagnosis of human immunodeficiency virus (HIV) / acquired immunodeficiency syndrome (AIDS) in 1990 presented to his local hospital in April with a 1 day history of fever and confusion. He was […]
Abstract Number: F42
SHM Converge 2022
Case Presentation: We present a case of a 46-year-old Filipina female with SLE and ITP who presented with new hypoxemia and a 6-month history of dry cough, dyspnea, and a 20lb weight loss. The patient had emigrated to the United States in 2002 and worked as an OR nurse. She had received the BCG vaccine […]
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: J26
SHM Converge 2022
Case Presentation: A 46-year-old Caucasian male with a past medical history of spastic quadriplegia secondary to MVC, Seizure disorder, CVA, Diabetes Mellitus type II on insulin, Neurogenic Bladder s/p suprapubic catheter, Chronic G-J Tube, Chronic Tracheostomy on Trach Collar, Severe protein calorie malnutrition and all extremities contractures who was admitted for dislodged G-J tube from […]
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: K33
SHM Converge 2022
Case Presentation: A 35-year-old man with a history HIV/AIDS with a CD4 count 60 and recently treated secondary syphilis presented for acute worsening of chronic rash after restarting Biktarvy. Exam found eruptive, generalized exanthem characterized by oval-shaped, pink, scaly plaques and papules with prominent flexural involvement. The initial differential diagnosis included disseminated bacterial or fungal […]
Abstract Number: N35
SHM Converge 2022
Case Presentation: 34-year-old female with no significant past medical history presented with blurry vision, weakness and dehydration after fasting for 7 weeks during which she lost about 20 pounds. On physical examination, patient was hypertensive, tachycardic, and malnourished with a BMI of 21. She was noted to have vertical and horizontal nystagmus bilaterally as well […]
Abstract Number: O31
SHM Converge 2022
Case Presentation: 46 year-old-female with past medical history of hypertension, Factor VII(FVII) deficiency, morbid obesity, thoracic spine stenosis presented with bilateral lower extremity weakness. Computed Tomography (CT) myelogram showed severe canal stenosis with spinal cord compression at Thoracic(T)10-11 and T11-12 levels and the spine team was planning surgery. Pre-operative labs showed prothrombin time(PT) of 21.2 […]
Abstract Number: 1071
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 29 year old female presents with one week of sudden onset double vision. She reports accompanying dark spots in her vision, photosensitivity, and some unsteadiness with walking. The patient’s friend noted that her eyes were “crossed” the morning of admission. Past medical history is significant for alcohol abuse and anxiety with a […]