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Meeting
Search Results for Hiv
Abstract Number: B40
SHM Converge 2022
Case Presentation: A 36-year-old male with no known past medical history presented with 2-month history of facial swelling and progressively worsening dysphagia. This was associated with diffuse, painless, purplish skin lesions involving multiple body parts. On admission, patient was hemodynamically stable. Examination was remarkable for oral candidiasis, diffuse purplish nodules of varying sizes involving his […]
Abstract Number: B42
SHM Converge 2022
Case Presentation: A 28-year-old man with recently diagnosed HIV (CD4 57/mm3), not on antiretroviral therapy (ART), presented to the hospital with shortness of breath for several days. He was severely hypoxic, requiring high-flow nasal cannula oxygen. Chest x-ray showed bilateral infiltrates. He was treated empirically with vancomycin and piperacillin/tazobactam for bacterial pneumonia, and Bactrim and […]
Abstract Number: C29
SHM Converge 2022
Case Presentation: A 27-year-old African American male with past medical history of hypertension presented with vomiting, diarrhea, chest pain and shortness of breath for about 1 week. He was septic with a temperature of 100.4F and heart rate of 130 bpm, but normotensive. No peripheral edema was present on exam. Leukocytosis (11.2K), anion gap metabolic […]
Abstract Number: C43
SHM Converge 2022
Case Presentation: A young man presented to the ED with four days of severe, sharp midsternal chest pain, fevers, diffuse arthralgias, bilateral conjunctivitis, diarrhea, and fatigue. He reported sexual intercourse with an HIV positive male partner four months prior to presentation and a history of multiple STI’s diagnosed in the past 6 years. Vitals: 101.5F, […]
Abstract Number: E34
SHM Converge 2022
Case Presentation: A 28-year-old man from Central America with a history of newly diagnosed human immunodeficiency virus (CD4 119 cells/mm^3, CD4 8%, viral load 61,000 copies/mL) presented with two months of progressive shortness of breath. Physical exam was remarkable for anasarca, diffuse cutaneous purpuric plaques as well as bilateral respiratory crackles. Chest x-ray revealed bilateral […]
Abstract Number: H38
SHM Converge 2022
Case Presentation: A 30-year-old man presented to the emergency department with dyspnea, dry cough, and skin lesions developed over the past two weeks. He is a man who has sex with men and immigrated from Thailand five years prior. He had not received primary care because of the lack of insurance and the COVID-19 pandemic. […]
Abstract Number: H46
SHM Converge 2022
Case Presentation: A 57-year-old male with HIV, heart failure with reduced ejection fraction, and hypothyroidism initially presented for dyspnea on exertion, found on EKG to have electrical alternans. Telemetry showed intermittent type2 second degree AV block. Transthoracic echocardiogram was notable for large pericardial effusion, ejection fraction 35%, grade 1 diastolic dysfunction, early diastolic right ventricular […]
Abstract Number: I36
SHM Converge 2022
Case Presentation: The patient is a 54-year-old male, with history of HIV (diagnosed in 2004), previous history of treated syphilis, inflammatory bowel disease (IBD) and hypertension. He presented with non-pruritic rash that spread from the face to the trunk and extremities except the palms and soles. The rash started as circular macules then became nodular […]
Abstract Number: M42
SHM Converge 2022
Case Presentation: An uninsured, homeless 26-year-old male with no past medical history presented with two weeks of progressive left eye vision loss described as a central enlarging black spot progressing to complete vison loss. Three months prior, he describes a painless, penile bump and a skin rash which started on his hands and feet. He […]
Abstract Number: 1147
Hospital Medicine 2020, Virtual Competition
Case Presentation: An undomiciled 48-year-old man with HIV presented with fever, chills, rigors, and bilateral leg swelling with pain for 1 week. He had developed worsening painful weeping ulceration most prominently over his right leg below the knee after exposure to water during a series of thunderstorms over the week prior. Physical examination revealed fever, […]