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Search Results for Injury
Abstract Number: 923
SHM Converge 2024
Case Presentation: A 70-year-old female with coronary artery disease (s/p drug-eluting stent x 2 10 years ago), Type 2 Diabetes Mellitus, rheumatoid arthritis, Chronic Obstructive Pulmonary Disease, and remote history of bladder cancer presented to the emergency department with two weeks of nausea, jaundice, dark colored urine, loss of appetite, and clay-colored stool. The patient […]
Abstract Number: 956
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 19 year old female with history of marijuana use presented with subacute, progressive shortness of breath. Productive cough began two weeks prior to presentation. She was diagnosed with atypical pneumonia and received azithromycin from her outpatient provider. After two days without improvement in symptoms, she presented to a nearby hospital with acutely […]
Abstract Number: 973
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 19-year-old woman with a history of polysubstance abuse and recent e-cigarette/vaping product use associated lung injury (EVALI) presented to the Emergency Room (ER) at a rural medical center with Acute Respiratory Failure and Altered Mental Status (AMS). Pt was 3 months post-partum. Past medical history included chronic migraine headaches and Grave’s disease. […]
Abstract Number: 981
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 40-year-old female with adult-onset Still’s disease (AoSD) refractory to methylprednisolone and who had been recently started on anakinra 2 months prior to hospitalization was admitted with 2 weeks of fatigue, nausea, diffuse pruritis, jaundice, and intermittent fevers and rash. Exam was notable for jaundice and salmon-colored rashes on her trunk and back. […]
Abstract Number: 991
Hospital Medicine 2020, Virtual Competition
Case Presentation: 22-year-old Caucasian male who presented to our Texas hospital with dyspnea. His symptoms started two days prior with fever to 103°F, vomiting, and a cough with white sputum. The patient worked as a bartender and endorsed daily tetrahydrocannabinol (THC) vaper use. Upon admission, he exhibited tachycardia (137 bpm), tachypnea (30 bpm), hypoxemia (O2 […]
Abstract Number: D31
SHM Converge 2022
Case Presentation: We present an 80-year-old female with a medical history significant for atrial fibrillation and heart failure with preserved ejection fraction. She underwent pulmonary vein isolation in 2017 and had reportedly been on flecainide 150 mg twice daily and atenolol 100 milligram twice daily since then. She presented to the emergency department with dyspnea […]
Abstract Number: F27
SHM Converge 2022
Case Presentation: A 26-year-old otherwise healthy female was prescribed trimethoprim-sulfamethoxazole (TMP-SMX) for a recurring, spontaneously draining vaginal mass below her urethra with inguinal adenopathy. 5 days after starting TMP-SMX, she developed a full-body rash, fever, myalgia, nausea, and a depressed WBC of 2.4 K/mcL. Possible drug fever was suspected and TMP-SMX was discontinued and covered […]
Abstract Number: I30
SHM Converge 2022
Case Presentation: Our patient is a 62 year-old gentleman with PMH significant for HTN, moderate-severe bilateral RAS and stage IIIa CKD who was transferred to our hospital for AKI requiring dialysis. 1 month prior to presentation, spironolactone was added to his antihypertensive medications of amlodipine, carvedilol, azilsartan and furosemide. He was in his usual state […]
Abstract Number: L27
SHM Converge 2022
Case Presentation: 74 y/o F w/ a PMH of Chronic Myelocytic Leukemia on nilotinib who presented with progressive weakness and anuria for the week prior to admission. On presentation, patient was hypotensive with SBP in the 80s. Physical exam was notable for 3/5 strength on all four extremities, however no focal deficits. Lab data was […]
Abstract Number: L30
SHM Converge 2022
Case Presentation: A 64 year-old male with past medical history of prostate adenocarcinoma, hypertension, gout, GERD, and alcohol abuse presented to the hospital with jaundice for seven days. Past surgical history was notable for cholecystectomy. Patient was currently on radiation therapy and set to initiate chemotherapy later. A course of Bicalutamide and Augmentin were recently […]