Session Type
Meeting
Search Results for Hypoglycemia
Abstract Number: 565
SHM Converge 2023
Case Presentation: A 65 year old woman with hypertension, hyperlipidemia, and gastric bypass surgery in 2005 presented to the emergency department with episodes of confusion. Four years prior to her presentation she began to have episodes of confusion where she would stare off into space and it was noted that eating relieved these symptoms. She […]
Abstract Number: 575
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Insulinoma is a rare tumor that originates in the beta cells of the pancreas with an incidence of 1-4 cases/million persons/year. Less than 10% of insulinomas are malignant and represent a treatment challenge despite the development of new therapeutic approaches in the last decade. A 28 year old female with no past medical […]
Abstract Number: 632
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 87 year old woman with a medical history of coronary artery disease, congestive heart failure, raynaud’s syndrome, sicca syndrome and hyperlipidemia was brought in after choking on food. Her hospital course was complicated by a brief episode of respiratory failure requiring intubation, central line placement, aspiration pneumonia, CHF exacerbation, lower GI bleed, lumbar […]
Abstract Number: 639
SHM Converge 2023
Case Presentation: A 40-year-old female with a history of morbid obesity status post Roux-en-Y gastric bypass in 2009 presented to hospital with blood glucose level of 33. She reported hypoglycemic episodes every day since 2007 with prior labs demonstrating elevated insulin and low c-peptide levels. The differential diagnoses included exogenous administration of insulin, given she […]
Abstract Number: 724
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: 62 year-old female with a history of intracranial hemangiopericytoma admitted to the ICU with altered mental status due to profound hypoglycemia. She was previously diagnosed six years prior with intracranial hemangiopericytoma and treated with resection and stereotactic radiosurgery. The tumor recurred locally three years later and she underwent additional resection. She denied a […]
Abstract Number: 778
SHM Converge 2024
Case Presentation: A 63-year-old female with a history of heart failure with reduced ejection fraction and pre-diabetes presented to the hospital with lower extremity weakness. On presentation, her physical exam was significant for bilateral lower extremity pitting edema and hepatomegaly. Lab work showed an elevated total bilirubin (7.3mg/dL) and direct bilirubin (3.8mg/dL), liver function tests […]
Abstract Number: 808
SHM Converge 2023
Case Presentation: This is a case report of a patient with severe peripheral arterial disease (PAD) who had several finger-stick capillary blood glucose readings demonstrating hypoglycemia refractory to treatment. The patient’s lack of symptoms prompted an investigation for pseudohypoglycemia which was confirmed with simultaneous point of care (POC) and peripheral venous glucose draws which demonstrated […]
Abstract Number: 808
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 64-year-old woman with a history of heart failure (HF) and end stage renal disease on dialysis presented with three days of abdominal pain. She was lethargic, hypothermic to 34.5 C, with jugular venous pulsations (JVP) to the earlobe, a systolic murmur at the left sternal border, and right upper quadrant tenderness. Laboratory […]
Abstract Number: 822
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 61-year-old African American male with past medical history of type I diabetes mellitus, hypertension, benign prostatic hyperplasia, stage IV chronic kidney disease, and peripheral vascular disease presented to the hospital for altered mental status, lethargy, and hypoglycemia. Home medications included amlodipine, atorvastatin, ergocalciferol, insulin detemir, insulin lispro, lisinopril, sertraline and tamsulosin. After […]
Abstract Number: 904
SHM Converge 2024
Case Presentation: An 80-year-old female with dementia presented with 4 months of intermittent confusion, hypoglycemia, and associated generalized weakness. Her symptoms resolved with eating. She had no diabetic medications at home. She was hospitalized 1 month prior for these symptoms; her blood glucose during that admission was 39 mg/dL, C-peptide was 6.9 ng/mL (reference range […]