Session Type
Meeting
Search Results for Granuloma
Abstract Number: 612
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 60-year-old man presented with progressive fatigue, 30-pound weight loss, and arthralgias over six months. He also noted more recent onset of left upper quadrant abdominal discomfort and nonproductive cough. Past medical history was notable for idiopathic thrombocytopenic purpura (ITP) and nephrolithiasis requiring lithotripsy. He had never smoked cigarettes. Examination revealed tender splenomegaly […]
Abstract Number: 670
SHM Converge 2023
Case Presentation: A 33-year-old female with a history of alcohol use and rheumatoid arthritis presented with a 2 day history of sharp, peri-umbilical and left upper quadrant (LUQ) pain. She also reported one month of fevers, night sweats, unintentional 10 Lb weight loss, and a non-productive cough without hemoptysis. She underwent a dental extraction for […]
Abstract Number: 671
SHM Converge 2021
Case Presentation: A 60-year-old female with a history of diabetes and a recent diagnosis of COVID-19 four weeks ago presented to the hospital with a persistent cough, fatigue, and poor appetite. She had been discharged two weeks prior for chest pain and shortness of breath, felt to be secondary to COVID-19 induced myopericarditis. She was […]
Abstract Number: 675
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 62 year old male with history of rapidly progressive glomerulonephritis due to anti-glomerular basement membrane (anti-GBM) disease who remains dialysis dependent after failing to respond to steroids and plasmapheresis eight months ago presented with two months of worsening vision and frontal headaches. The patient also has chronic systolic heart failure with an […]
Abstract Number: 675
SHM Converge 2023
Case Presentation: A 52-year-old female with a medical history of chronic sinusitis and recurrent pneumonia secondary to granulomatous disease presents with new onset AKI, worsening fatigue, malaise, weight loss, and transaminitis. She was given Solu-medrol, transitioned to prednisone with improvement. Chest X-ray revealed a patchy airspace opacity in the right middle lobe, concerning for pneumonia […]
Abstract Number: 707
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 65 year-old Mexican man had presented to an outside hospital with 2 weeks of cough and dyspnea and was found to have a new apical pulmonary infiltrate. He underwent lung biopsy and was treated for pneumonia for several days without resolution of his symptoms. He was transferred to our medicine service and […]
Abstract Number: 733
SHM Converge 2024
Case Presentation: A 34 year old female presented to the emergency department with several days of rapidly progressive skin and tongue lesions. Over the preceding months, she was evaluated by outpatient otolaryngology for recurrent otalgia and sinusitis, receiving antibiotics and prednisone without improvement. She underwent electromyography with neurology and was diagnosed with peripheral neuropathy of […]
Abstract Number: 743
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 28-year-old HIV positive male presented with one week of rectal pain and bloody diarrhea. He was found to have bright red blood in vault on rectal examination. Laboratory studies were concerning for a leukocytosis with left shift, an elevated CRP (>80 mg/dl), and a positive fecal calprotectin. His CT scan demonstrated circumferential […]
Abstract Number: 752
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 27-year-old white male with adult-onset asthma and recurrent pneumonia presented to a rural hospital with a one month history of ascending lower extremity numbness. He also reported fever, fatigue, night sweats, and a twenty-pound weight loss over three weeks. Initial workup revealed leukocytosis and eosinophilia, prompting transfer to our facility for further […]
Abstract Number: 768
SHM Converge 2021
Case Presentation: A healthy 3 year-old male from Arizona was seen in outpatient ENT clinic for 2.5 weeks of intermittent stridor, hoarse voice, barky cough, and 1 day of increased work of breathing. He had previously been evaluated on 4 separate occasions by his pediatrician or the emergency department. Each time, he was treated for […]