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Abstract Number: 464
TUMOR LYSIS SYNDROME AFTER HEPATIC ARTERY EMBOLIZATION IN A PATIENT WITH NEUROENDOCRINE CANCER OF UNKNOWN PRIMARY
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 60-year-old male patient who presented with hemoptysis 1-year prior, was found to have sub-centimeter lung nodules and multiple liver lesions on CT chest. The largest hepatic lesion on abdominal MRI was 3.2 x 1.4cm. He declined liver biopsy and presented a year later with abdominal distension, early satiety and unintentional weight loss [...]
Abstract Number: 469
NEW ONSET HYPERTENSIVE URGENCY FOLLOWING RENAL ARTERY EMBOLIZATION
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 64-year-old year old woman with no personal or family history of HTN was diagnosed with right renal angiomyolipoma incidentally on work up for latent TB and referred to interventional radiology for partial right RAE. On routine follow up one week post procedure, she was noted to be normotensive. One-month post procedure while [...]
Abstract Number: 506
POST-EMBOLIZATION SYNDROME: AN IMPORTANT SEPSIS MIMICKER TO BE AWARE OF
SHM Converge 2023
Case Presentation: A 33-year-old G2P1011 woman who was 6 days postpartum from an uncomplicated vaginal delivery presented to the emergency department with acute right flank pain, hypotension (BP 88/60), tachycardia (HR 125) and new onset anemia with hemoglobin 9g/dL. CT abdomen/pelvis (CT AP) revealed a 21.5cm right renal angiomyolipoma (AML) with an associated bleeding pseudoaneurysm [...]
Abstract Number: 615
CHOLESTEROL EMBOLIZATION SYNDROME: ATYPICAL SKIN FINDINGS
SHM Converge 2024
Case Presentation: A 56-year-old male with severe diffuse atherosclerotic disease presented to primary care clinic following several hospitalizations requiring vascular intervention. Physical exam revealed multiple large (10 cm), scattered, painful plaques with central necrosis and erythematous borders on the bilateral upper thighs. Cutaneous biopsy showed ulceration with cholesterol emboli confirming CES. Upon diagnosis, a retrospective [...]
Abstract Number: 627
INFECTIVE ENDOCARDITIS COMPLICATED BY INTRACARDIAC FISTULA AND SYSTEMIC EMBOLIZATION
SHM Converge 2024
Case Presentation: A 29-year-old man with medical history of type 1 diabetes mellites complicated by chronic nonhealing diabetic foot wound presented with one week history of shortness of breath and malaise. On physical exam he was hemodynamically stable and had a new grade II/VI holosystolic murmur at lower sternal border. Initial laboratory workup revealed elevated [...]
Abstract Number: 674
SPLENIC ARTERY PSEUDOANEURYSM: A CONSEQUENTIAL COMPLICATION OF PANCREATITIS
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 45 year-old gentleman with a history of recurrent alcoholic pancreatitis complicated by pancreatic pseudocyst presented to the hospital after three episodes of hematochezia. Ten days prior, he had undergone endoscopic transgastric metal stent placement between his pseudocyst and stomach, followed 6 days later by pseudocyst drainage with necrosectomy. After 3 days, he [...]
Abstract Number: 678
COIL TOOK MY MEMORY: A CASE OF ANTEROGRADE AMNESIA AFTER STENT-ASSISTED COIL EMBOLIZATION
SHM Converge 2021
Case Presentation: A 57-year-old African American woman with a past medical history of hypertension, type 2 diabetes mellitus, and pulmonary sarcoidosis underwent an MRI of the brain for evaluation of headaches. An incidental finding of a four-millimeter right-sided bilobed anterior communicating artery (AcoA) aneurysm was noted. The patient was then referred to Neurosurgery for elective [...]
Abstract Number: 686
CHEST PAIN AFTER TRANSARTERIAL CHEMOEMBOLIZATION: DISSECTING AN UNDESCRIBED COMPLICATION
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 71-year-old-male with history of HTN, tobacco abuse, and Hepatitis C cirrhosis complicated by hepatocellular carcinoma (HCC), was admitted following transarterial chemoembolization (TACE) for HCC. TACE of a 3.2cm left hepatic lobe mass was performed. Access was obtained via the right common femoral artery. No immediate complications were noted, and the patient was [...]
Abstract Number: 702
“CHOLESTEROL CRYSTAL SHOWER” – A RARE CASE OF ATHEROEMBOLIC RENAL DISEASE
SHM Converge 2021
Case Presentation: A 102-year-old male with a past medical history of coronary artery disease(CAD), transient ischemic attack(TIA) ,well controlled hypertension(HTN), presented to emergency department(ED) with aphaisa and left facial droop of two hours duration. His symptoms were resolved by the time he presented to the ED. Surgical, social, and family histories were unremarkable.Physical Examination was [...]
Abstract Number: 776
MASSIVE HEMOPTYSIS FOLLOWING COVID-19 INFECTION
SHM Converge 2024
Case Presentation: A 65-year-old obese woman with type II diabetes mellitus presented with a 7-day history of cough and hemoptysis described as streaks of blood during the first two days, and as half a cup to a cup of bright red blood with clots thereafter. On arrival to the emergency room she was hemodynamically stable, [...]
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