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Search Results for Hepatic
Abstract Number: 896
Hospital Medicine 2020, Virtual Competition
Case Presentation: 26-year-old woman presents with abdominal pain for one day. She developed sudden, sharp and constant abdominal pain in the right upper quadrant and epigastric area. The pain is associated with subjective fevers, nausea and non-bilious, non-bloody vomiting. Pain is worse with deep breathing and movement. She denies weight loss, no diarrhea or constipation, […]
Abstract Number: 913
SHM Converge 2024
Case Presentation: 5 59-year-old male with alcoholic cirrhosis, hypertension, COPD, and diabetes mellitus presented with a 3-month history of progressive confusion and altered mental status. His family reported memory decline, prompting multiple ER visits primarily focused on cirrhosis-related complications, overlooking the neurological symptoms’ etiology. Initial improvement following hepatic encephalopathy treatment was short-lived, leading to rapid […]
Abstract Number: 920
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 39-year-old Zimbabwean male with a past medical history of hepatic schistosomiasis complicated by cirrhosis and pancytopenia presented to the ED with 7 days of abdominal pain and generalized weakness. The patient exhibited similar symptoms 8 months prior and had taken furosemide and spironolactone ever since, with no other home medications. Physical exam […]
Abstract Number: B39
SHM Converge 2022
Case Presentation: A 53-year-old male with a past medical history of hypertension who recently emigrated from El Salvador presented to an ambulatory clinic for evaluation of substernal chest pain that started eight days earlier. He described the chest pain as intermittent, non-radiating, and associated with palpitations, chills, shortness of breath, and diaphoresis. He denied fever, […]
Abstract Number: C42
SHM Converge 2022
Case Presentation: A 56-year-old man presented with 3 weeks of headache and 3 days of chin numbness. He also reported subjective fever and night sweats. His past medical history included HIV for which he was on antiretroviral therapy (last CD4 902 x10^6/L and undetectable viral load). His vital signs were normal. He had decreased sensation […]
Abstract Number: C49
SHM Converge 2022
Case Presentation: A healthy 22-year-old presented with four days of acute onset emesis, jaundice, and fever. Four days prior to presentation, the patient ate fried chicken and rice for lunch. Four hours later he had twelve episodes of non-bilious non-bloody vomiting, without associated diarrhea or abdominal pain. Over the next three days, he developed progressive […]
Abstract Number: E38
SHM Converge 2022
Case Presentation: Hepatic carcinosarcoma (HCS) is an extremely rare kind of hepatic malignancy with elements of both carcinoma and sarcoma. Chronic lymphocytic leukemia (CLL), on the other hand, is the most common lymphoid malignancy in North America accounting for ~25% of leukemia cases in the United States. This is the first case report in medical […]
Abstract Number: H39
SHM Converge 2022
Case Presentation: A 27-year-old Chinese-American woman presented to the ED for sore throat, flank pain, dysuria, and generalized weakness for 1 week. The symptoms began after returning on a domestic flight. She initially denied any medical history or substance use to multiple providers and insisted her symptoms were due to infrequent bathroom use during the […]
Abstract Number: L47
SHM Converge 2022
Case Presentation: A 35-year-old female dog groomer with a history of an ovarian cyst presented as a direct admission from the Gastroenterology clinic due to worsening upper abdominal pain and weight loss for 2 months. An abdominal CT obtained two weeks prior showed a large left liver lobe mass measuring 6.3 x 4.6 cm. On […]