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Meeting
Search Results for Insulin
Abstract Number: 419
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 44-year-old male presented to the emergency department with a 2 hour history of altered mental status. His wife reports that when he awoke, he was confused and acting inappropriately. After no improvement for 2 hours he was brought to the ED. En route to the ED, he ate a Hershey chocolate bar […]
Abstract Number: 453
SHM Converge 2021
Case Presentation: Our case involves a 45-year-old male with a history of alcohol abuse, who presented with acute epigastric pain and bilious emesis. On exam, he had severe epigastric tenderness with guarding and normoactive bowel sounds. When obtaining labs, his blood was grossly turbid. Labs were significant for elevated lipase (1,534 IU/L), normal TSH (1.23 […]
Abstract Number: 471
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 65-year-old woman was admitted to our hospital because of episodes of altered mental status and high blood pressure. Forty days prior to admission, the patient was taken to the emergency department with an altered mental status and hypertension. Her blood pressure was 226/129 mmHg, while her blood glucose level was 48 mg/dL. […]
Abstract Number: 529
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 45-year-old woman with type 2 diabetes mellitus (DM) and dyslipidemia presented with a 2-day history of nausea, vomiting, and epigastric pain. Two years earlier, she had an episode of pancreatitis secondary to hypertriglyceridemia (HTG; 1120 mg/dL), which was treated with gemfibrozil and atorvastatin. Her family history was significant for hyperlipidemia and type […]
Abstract Number: 540
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 79-year-old Caucasian non-diabetic male with history of renal cell carcinoma, s/p left nephrectomy in 2005 and coronary artery stent placement 2 months prior and on Clopidogrel, presented with acute onset sweating and palpitations. Monitoring revealed fasting serum glucose as low as 29mg/dL with concurrent insulin level of 9,600 uIU/mL. Further investigations for […]
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: 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: 693
SHM Converge 2024
Case Presentation: A 79 y/o obese male with a history of hemochromatosis on scheduled phlebotomies, hypertension, afib, and hyperlipidemia presented to the ED for the third time in a week with chief complaints of nausea, syncope, and diaphoresis. Vitals signs were normal on presentation. Preliminary investigations were unremarkable except for glucose of 48. The patient […]
Abstract Number: 752
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 29-year-old African American man presented as a transfer from an outside hospital for uncontrolled diabetic ketoacidosis. Two months prior to admission he was diagnosed with ketosis prone type 2 diabetes mellitus. On presentation he had a BMI 22.6, a rash around his nose, acanthosis nigricans under his arms, Raynaud’s phenomenon and intermittent […]