Session Type
Meeting
Search Results for Disseminated
Abstract Number: 48
SHM Converge 2024
Case Presentation: 19 month old female with a history of unspecified T- cell immunodeficiency presented with a 10 day history of cough, fatigue, and persistent fevers. The patient had just returned from Mexico and reportedly was diagnosed with influenza there. Previously the patient had been on Bactrim prophylaxis, but ran out of it while in […]
Abstract Number: 50
SHM Converge 2024
Case Presentation: A 17 y.o. female with systemic lupus erythematosus (SLE) presented with several weeks of worsening migratory polyarthralgia, as well as sporadic fevers, night sweats, and chills. Prednisone was begun 3 weeks prior for a presumed SLE flare, given elevated anti double-stranded DNA (anti-dsDNA) and erythrocyte sedimentation rate (ESR) and hematuria, but provided no […]
Abstract Number: 310
SHM Converge 2021
Case Presentation: A 60-year-old woman with no past medical history presented for evaluation of progressive dizziness with associated right-sided hearing loss. On exam, a fluctuant right occipital scalp abscess was noted. CT of the head was suspicious for mastoiditis. She underwent incision and drainage and was subsequently discharged with oral Amoxicillin-clavulanate. Her symptoms persisted for […]
Abstract Number: 324
SHM Converge 2021
Case Presentation: A 61 year old female presented to the emergency department with 1 day of nausea, vomiting, and fever. The day prior to her symptom onset, she had undergone a colonoscopy for colon cancer screening that was normal. Her medical history was notable for splenectomy in 2000 for a hamartoma.On presentation, her temperature was […]
Abstract Number: 366
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: The patient was a 27 year old male who presented to the ED in July 2016 with persistent left sided chest pain and a lump over his sternum of several weeks in duration. Pain was exacerbated by touch and exertion. Other symptoms included occasional episodes of scant hemoptysis. Patient denied SOB, fevers, chills, […]
Abstract Number: 414
SHM Converge 2021
Case Presentation: A 60-year-old, Guatemalan female without prior medical history presented with a transient, erythematous, burning, rash involving her extremities and torso (Figure 1). Additional symptoms included fatigue, chills, joint pain, early satiety and weight loss. Blood counts, metabolic panel and serum protein electrophoresis were normal. C-reactive protein (13 mg/L, normal (N)
Abstract Number: 422
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 88-year-old female presented to an outpatient office with 3 weeks history of severe progressive bruising and ecchymosis which initially developed on left wrist and then spread to bilateral upper extremities, upper trunk and bilateral breast. Patient was recently diagnosed with intraductal adenocarcinoma of right breast (T2,N2,M0, Stage IIB). She declined surgery and tamoxifen (20 […]
Abstract Number: 426
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 19 year-old Caucasian woman presented with progressive fatigue, dyspnea on exertion and dizziness for 3 weeks. Her symptoms were preceded by an unknown bug bite approximately 3 weeks ago. She was seen in urgent care two weeks prior to admission and given a course of unknown antibiotics and started on steroids. She […]
Abstract Number: 443
SHM Converge 2021
Case Presentation: 21F PMH asthma initially presented to the ED with low grade fevers and URI symptoms. She was 29 weeks pregnant at the time. In the ED she was worked up and found to be Influenza positive with a consolidation suspicious for CAP. Pt initially admitted to the ICU for presumed sepsis secondary to […]
Abstract Number: 478
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 44 year-old man who resides in Alexandria, LA presented via air ambulance from Honduras with three weeks of fever, night sweats, and right upper quadrant abdominal pain. He had associated nausea, vomiting, diarrhea, and headache. Exam was notable for fever and hepatomegaly. Serum studies revealed a creatinine of 6 mg/dL, elevated AST, […]