Session Type
Meeting
Search Results for Hemorrhage
Abstract Number: 595
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 20 year old man with history of Systemic Lupus erythematous (SLE) with Lupus nephritis presented to the hospital with cough and hemoptysis for the past few days. He was found to have severe anemia (5.4 mg/dl), thrombocytopenia (52,000/mm3), elevated LDH (829), low haptoglobin (<8), hypocomplentemia (low C3 and C4), schistocytes on peripheral […]
Abstract Number: 596
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 75 year old male was transferred into the ICU, already intubated, requiring antibiotics and pressors. He was hypotensive, tachypnic with respiratory distress, had severe oliguric AKI with serum creatinine of 6.0, and anemia with hemoglobin below 7.0. His initial CXR and CT showed scattered bilateral pulmonary opacities. After he did not improve […]
Abstract Number: 609
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: We present a rare case of MoyamoyaDisease (MMD) in a 44-year-old Caucasian female with a medical history of severe recurrent headaches. She presented with an excruciating headache and was found to have right-sided facial droop, and dysarthria. Initial imaging demonstrated an intraparenchymal and intraventricular hemorrhage, along with chronic occlusions of the middle cerebral […]
Abstract Number: 610
SHM Converge 2024
Case Presentation: Granulomatosis with Polyangiitis (GPA) is a rare necrotizing vasculitis characterized by chronic granulomatous inflammation and localized and systemic manifestations. It typically involves the upper airway, lungs, and kidneys, but potentially affects every organ with a highly variable clinical trajectory. Diffuse alveolar hemorrhage (DAH) is one of its least common pulmonary manifestations, characterized by […]
Abstract Number: 624
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 62-year-old woman presented with a three week history of worsening shortness of breath. She endorsed a dry non-productive cough of several days without fever, chills, or other symptoms. Review of systems was negative for hemoptysis. Past medical history includes HFpEF, hypertension, and chronic atrial fibrillation on apixiban. On presentation, her temperature was […]
Abstract Number: 643
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 56-year-old male with history of alcohol abuse presented to the Emergency Room complaining of worsening abdominal pain for 2 weeks. Patient stated that he drinks half a pint of whiskey every day, and that the last drink was the day before presenting to the Emergency Room. He also reported that he had […]
Abstract Number: 647
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: We report a case of an asymptomatic 65-year-old Hispanic male with a left neck mass. Ultrasound and fine needle aspiration were compatible with thyroid cancer. He underwent a total thyroidectomy with modified radical left neck dissection. The tumor measured 5 x 3.5 x 2.7 cm, with complete involvement of the left thyroid lobule. […]
Abstract Number: 655
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 68 year old White female with atrial fibrillation presented with worsening dyspnea and cough. She was previously followed for similar symptoms and a computed tomography (CT) scan of the chest done in November 2012 demonstrated minimal basilar airspace disease. At that time an extensive workup including autoimmune serology was unrevealing and her […]
Abstract Number: 673
SHM Converge 2023
Case Presentation: A 58-year-old female presented to the ED with one month of generalized worsening weakness, malaise, and diaphoresis. The patient’s medical history included severe Crohn’s disease, osteoporosis, tobacco use, and right kidney atrophy. Initial exam findings included abdominal distension, left upper quadrant tenderness, and anasarca. Labs revealed hemoglobin 8.6, hematocrit 25.0, WBC 10.7, platelet […]
Abstract Number: 687
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 24-year-old African-American woman presented with nausea, flank pain, and hematuria recurring over several months. Review of symptoms and past medical history were negative. She was a current smoker. Family history was noncontributory. Physical exam was significant for bilateral flank pain. Laboratory testing, serology, and kidney biopsy led to the diagnosis of rapidly […]