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Abstract Number: 593
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 56 y/o African American male with a history of paroxysmal atrial fibrillation presented with “pounding” chest pain after being assaulted. On presentation, the patient was afebrile and normotensive but significantly tachycardic (heart rate 140). Physical exam revealed an irregular rhythm with a s3 gallop and a 2/6 systolic murmur in the left […]
Abstract Number: 636
SHM Converge 2023
Case Presentation: This case describes a 63-year-old male who was recently diagnosed with renal cell carcinoma with metastasis to the lungs confirmed with a biopsy showing diffuse PAX-8 positivity on an immunohistochemical staining panel favoring renal origin. He was started on Nivolumab/Ipilimumab however was hospitalized in the intensive care unit for septic shock due to […]
Abstract Number: 703
SHM Converge 2021
Case Presentation: A 66-year-old female with metastatic small cell lung cancer involving brain, liver, and bones was admitted via ED with generalized weakness, mild confusion, and decreased oral intake for 3 days. She was initiated on immunotherapy with immune checkpoint inhibitors, ipilimumab (human cytotoxic T-lymphocyte antigen 4 (CTLA-4)-blocking antibody) and nivolumab (a programmed death receptor-1 […]
Abstract Number: 745
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: Case1: A 72- year old male with a diagnosis of stage four non-small cell Lung carcinoma who was treated with Pembrolizumab, presented two weeks after his first dose with generalized body aches and weakness. Labs showed elevated creatinine Kinase, increased serum creatinine with hyperkalemia to 5.6 and elevated troponins to as high as […]
Abstract Number: 766
SHM Converge 2023
Case Presentation: A 77-year-old female with a history of hypertension and stage IV uterine carcinosarcoma treated with resection, peritoneal debulking, and chemotherapy, presented to the hospital with chest pain and shortness of breath. Her workup revealed new anemia and pulmonary metastatic disease. She underwent an esophagogastroduodenoscopy and colonoscopy for her anemia workup which showed no […]
Abstract Number: 786
SHM Converge 2023
Case Presentation: A 76-year-old female with a history of hypertension, BMI 48 kg/m2, hypothyroidism, and metastatic melanoma presented with a 2-week history of progressive myalgia, weakness, and dyspnea 3 weeks after the first infusion of nivolumab and relatlimab.In July 2019, she was diagnosed with stage IIB (cT4a, cN0, cM0) melanoma of the left leg (4.2 […]
Abstract Number: 837
SHM Converge 2023
Case Presentation: A 69-year-old male with a past medical history of urothelial carcinoma status post left nephrectomy began immunotherapy and was started on Atezolizumab. He developed bilateral lower extremity weakness that began following his first dose. After 3 doses, in 02/2022, his lower extremity weakness worsened to the point where he could not walk. A […]
Abstract Number: 841
SHM Converge 2024
Case Presentation: A 59 year-old man with a 30 pack-year smoking history was sent to ED from retina clinic for further workup of recurrent left eye uveitis refractory to steroids. He had a 2 month history of persistent left eye central vision loss and floaters, without right eye issues or systemic symptoms. He had negative […]
Abstract Number: 863
SHM Converge 2023
Case Presentation: Contradictory to stroke prevention by left atrial appendage occlusion (LAAO) device, we present a case of a gentleman who suffered an air embolic stroke in the right fronto-temporal region during the procedure. 66-year-old male with a history of atrial fibrillation was undergoing LAAO device procedure. Air was noticed in his left ventricle which […]
Abstract Number: 948
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 29 year old female with past medical history significant for hyperemesis gravidarum requiring total parenteral nutrition (TPN) presented to the Emergency Department (ED) with chest pain. She had been having intermittent chest pain for the last 3-4 years, which she had always attributed to the scar from her infusion port. An infusion […]