Session Type
Meeting
Search Results for Encephalopathy
Abstract Number: K25
SHM Converge 2022
Case Presentation: A 23 year-old man with history of classic maple syrup urine disease (MSUD) and obesity presented with chief complaint of 3 days of vivid nightmares and hallucinations. He denied abdominal pain, vomiting, imbalance, or other neurologic symptoms. He did report increased life stressors (college coursework) in the week prior to his symptom onset, […]
Abstract Number: N33
SHM Converge 2022
Case Presentation: A 54-year-old woman with stage IV endometrial stromal sarcoma s/p TAH, BSO, and ileocolic resection for bowel involvement, presented with acute onset of altered mental status on the evening of receiving her day 3 of cycle 3 ifosfamide infusion. On presentation, patient was tachycardic to HR 110s, afebrile, and otherwise with stable vital […]
Abstract Number: N47
SHM Converge 2022
Case Presentation: We present a case of a 55-year-old Caucasian woman with a history of hypothyroidism, anxiety, depression, burns affecting 70% of body area (sustained in a motor vehicle accident 4 months before this admission), and recent COVID-19 infection, who presented for altered mental status. She was noted to be less conversive than baseline and […]
Abstract Number: O41
SHM Converge 2022
Case Presentation: A 77-year-old woman with past medical history of renal cell carcinoma with known liver metastases, status post left nephrectomy who was on Tivozanib presented with acute onset speech disturbances, headache, nausea, and vomiting. Patient reported intermittent, milder headaches and confusion over the previous three weeks, coinciding with the start of Tivozanib chemotherapy. Vitals […]
Abstract Number: 1024
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 27 y/o M presented after an episode of confusion and abnormal behavior. Patient reported 1 week of intermittent headaches, nausea, emesis, and dizziness. He had no sick contacts or recent travel. Family history was significant for SLE. On exam he had diffuse weakness but was otherwise neurologically intact without meningeal signs. Initial […]
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 […]
Abstract Number: 1102
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 63-year-old male presented with altered mental status of one day duration. The patient’s history was significant for CAD, CKD Stage 3, and a recent whipple procedure for cholangiocarcinoma complicated by abdominal abscess requiring percutaneous drainage and prolonged course of ertapenem (renally dosed). He was admitted to the hospital with encephalopathy after having […]
Abstract Number: 1223
Hospital Medicine 2020, Virtual Competition
Case Presentation: 33-year-old male with metastatic germ cell testicular cancer to the lungs initially presented with worsening headaches. Imaging showed significant disease progression with new intracranial metastases in the right parietal and occipital lobes. He underwent autologous stem cell transplant complicated by pancytopenia. Three days later developed sudden onset typical chest pain at rest associated […]
Abstract Number: 1240
Hospital Medicine 2020, Virtual Competition
Case Presentation: To our knowledge, no prior case of simultaneous hydralazine induced lupus (HIL) with diffuse alveolar hemorrhage (DAH), and antiphospholipid antibody syndrome (APLA) is reported. We report this case due to extreme complexity as prompt diagnosis and appropriate management are crucial to survival.A 68- year- old female with a history of cirrhosis and hypertension […]