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Search Results for Iga
Abstract Number: 606
SHM Converge 2021
Case Presentation: A 56 year-old man with schizoaffective and antisocial personality disorders was admitted from the county jail witha 4-day history of fever, hemoptysis, severe headaches, hematuria, diffuse myalgias,and bloody diarrhea. Officers reported the patient frequently flooded his cell and ingested toilet water. A CXR revealed L>R bibasilar infiltrates, and a diagnosis of Legionellapneumonia was […]
Abstract Number: 611
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 19-year-old man with no medical history presented to gastroenterology clinic with four days of nausea, vomiting, malaise, fevers, and epigastric pain. An esophagogastroduodenoscopy (EGD) was scheduled for the following day. The next morning, the EGD was cancelled when he was found to be to be hypoxemic on pre-procedure vital signs and was […]
Abstract Number: 617
SHM Converge 2024
Case Presentation: A 36-year-old male with no past medical history presented to the emergency room for medical evaluation for one week of diarrhea that became bloody four days prior to presentation. During the hospitalization, he had worsening thrombocytopenia and labs were consistent with Shiga Toxin 2 positive hemolytic uremic syndrome. He was managed with supportive […]
Abstract Number: 626
SHM Converge 2021
Case Presentation: A 48-year-old man with extreme obesity, heart failure, and a clinical diagnosis of gout presented with abdominal pain. Abdominal examination was limited by body habitus, as his body mass index was 68. Admission laboratory studies revealed acute kidney injury. He had been hospitalized before for similar presentations, but clear etiologies for the abdominal […]
Abstract Number: 631
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 25-year-old female with no significant past medical history presented to the emergency room with chest pain and shortness of breath. She was febrile to 40 degrees Celsius and tachypneic. Physical exam was notable for bilateral crackles in her lower bases. Her social history indicated former marijuana use and current e-cigarette use (Juule, […]
Abstract Number: 636
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 57-year-old man presented with three weeks of palpable petechial rash, abdominal pain, polyarthralgia and edema. The rash started as “red dots” on his abdomen and spread throughout his body. On exam, he exhibited diffuse palpable purpura with blistering to his bilateral feet. Initial work up was notable for creatinine (Cr) 3.30 from […]
Abstract Number: 680
SHM Converge 2024
Case Presentation: A 29-year-old man with a history of morbid obesity, asthma, and chronic tracheostomy presented with 3 weeks of abdominal pain. The pain was intermittent and epigastric, without relationship to eating. He had poor appetite and nausea, though no emesis. He denied use of ibuprofen or alcohol. He denied fevers or chills. The pain […]
Abstract Number: 691
SHM Converge 2024
Case Presentation: A 22-year-old male with no past medical history presented with a three-week history of a frontal headache associated with nausea and vomiting. He denied various symptoms, including bloody diarrhea, dysuria, or hematuria. He had no history of renal calculi, recent illness, antibiotic exposure, or drug allergies. He recently traveled to Jamaica and Florida […]
Abstract Number: 694
SHM Converge 2024
Case Presentation: A 54-year-old male with alcoholic cirrhosis and type 2 diabetes presented to the hospital for 2 weeks of recurrent syncopal episodes. One year prior to presentation, he underwent EGD to work-up chronic intermittent nausea, abdominal pain, bloating, and heartburn; this was unremarkable. Colonoscopy showed non-bleeding internal hemorrhoids and few diverticula. One month prior […]
Abstract Number: 699
SHM Converge 2023
Case Presentation: A 44-year-old man with bicuspid aortic valve and atrial flutter was admitted to the hospital with dyspnea and found to have cardiogenic shock with rapid atrial fibrillation. He received inotropic agents, afterload reducing agents, and cardiac resynchronization therapy, resulting in improvement in symptoms and systolic function. Physical examination demonstrated vigorous carotid pulsations, known […]