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Meeting
Search Results for Hepatic
Abstract Number: 432
SHM Converge 2023
Case Presentation: Our first patient is a 75-year-old female with a history of hypertension, type 2 diabetes, hypothyroidism, rheumatoid arthritis, chronic kidney disease stage III, FSGS, and fibromyalgia who presented with a one-week history of midsternal chest pain, dyspnea on exertion, decreased exercise tolerance and epigastric discomfort. Vital signs were notable for tachypnea (22 bpm) […]
Abstract Number: 463
SHM Converge 2023
Case Presentation: A 78-year-old dialysis-dependent man with a history of end stage renal disease, hypertension and cerebrovascular accident was evaluated for diffuse abdominal pain and altered mental status for one day. The examination was pertinent for generalized weakness and altered sensorium. Laboratory tests revealed transaminitis and leukocytosis. Computed tomography (CT) of the abdomen and pelvis […]
Abstract Number: 464
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: 465
SHM Converge 2023
Case Presentation: A 36-year-old male with a PMH of alcohol use disorder, recurrent pancreatitis, cholecystectomy, diabetes mellitus type 2, and hyperlipidemia presented to the emergency room for severe epigastric abdominal pain, nausea, and vomiting for 2 days in the setting of heavy alcohol use prior to admission. Vital signs on admission were notable for hypertension. […]
Abstract Number: 471
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 38 year-old-male with cirrhosis from hepatitis B and C complicated by recurrent ascites, previous spontaneous bacterial peritonitis (SBP), and recurrent hepatic hydrothorax requiring transjugular intrahepatic portosystemic shunt presented with two days of increasing dyspnea at rest. He had recently been nonadherent with SBP prophylaxis and diuretics. Laboratory findings revealed leukocytosis of 17,500k/uL, […]
Abstract Number: 475
SHM Converge 2024
Case Presentation: A previously healthy 32-year-old man presented to the ER for two weeks of yellowing skin and eyes. He denied recent illness, weight loss, GI symptoms, hemoptysis, and night sweats. He had arrived in the US four months earlier after a month-long trek through seven countries. He denied any animal bites, but did drink […]
Abstract Number: 513
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 55-year-old obese female presented with daily high fevers, chills, night sweats, malaise, decreased appetite, and nausea for two weeks. Her past medical history is significant for laparoscopic adjustable gastric band (LAGB) surgery eight (8) years prior. On presentation, she was febrile, tachycardic with pallor and hypotensive. Cardiopulmonary and abdominal examination was normal, […]
Abstract Number: 523
SHM Converge 2021
Case Presentation: A 70 year male presented to the emergency department with complaints of worsening fatigue, abdominal distension, abdominal pain, dyspnea, and increased lower extremity edema. He had been diagnosed with pancreatic cancer 3 months ago and recently started on chemotherapy. An abdominal CT scan revealed massive ascites and multiple liver abscesses essentially replacing the […]
Abstract Number: 555
SHM Converge 2023
Case Presentation: A 69-year-old woman with hypertension and arthritis presented with 2 weeks of myalgias, decreased appetite, malaise, and fevers. She also reported two days of non-bloody diarrhea that had since resolved. She denied any recent travel, abdominal or dental procedures, or contact with livestock. Vital signs were notable for the absence of fever. Physical […]
Abstract Number: 560
SHM Converge 2021
Case Presentation: A 31 year-old woman with a history of portal vein thrombosis at age 8 with cavernous transformation resulting in non-cirrhotic portal hypertension presented with acute onset of upper abdominal pain. The patient was pale, tachycardic, with diffuse abdominal distention and tenderness. Laboratory data was significant for an acute drop in hemoglobin from 14 […]