Session Type
Meeting
Search Results for Lupus
Abstract Number: 488
SHM Converge 2023
Case Presentation: The patient is a 27-year-old male with lupus anticoagulant with hypoprothrombinemia syndrome (LAHPS)/triple positive antiphospholipid syndrome (APLS) in the setting of systemic lupus erythematous (SLE) and immune thrombocytopenia (ITP) on hydroxychloroquine, mycophenolate mofetil (MMF), and prednisone for immunosuppression, who presented to the ER with worsening right upper quadrant and epigastric pain. RUQ US […]
Abstract Number: 498
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 30 year old African American female with history of Systemic Lupus Erythematosus and secondary Lupus nephritis presented with painful erythematous blisters on her hands and feet along with dysphagia and oral ulcers. It was discovered that 2 weeks prior she was started on mycophenolate mofetil for treatment of her lupus […]
Abstract Number: 499
SHM Converge 2024
Case Presentation: A 40 year-old female with previous out of state hospitalizations for MDD and bipolar disorder with psychotic features presented with disorganized thoughts, withdrawn affect and depression at the behest of her family. Psychiatric evaluation noted echolalia, negativism, withdrawal and poor PO intake. A diagnosis of severe depression with catatonic features was made and […]
Abstract Number: 511
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 56-year-old Caucasian female with history of mechanical aortic and mitral valves on chronic warfarin therapy, atrial fibrillation, and questionable history of SLE was admitted to the intensive care unit for emergent splenectomy following a motor vehicle accident. After initially being sent home from a regional hospital, she was diagnosed five days later […]
Abstract Number: 532
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 66-year-old female with a history of hypertension presented to the emergency department with one week of lower extremity edema, nausea, and vomiting. On admission, the patient was found to be hyponatremic, hypoalbuminemic, with nephrotic range proteinuria (urine protein-to-creatinine ratio of 8.5 g/g) and acute kidney injury. During the hospital course, the patient’s […]
Abstract Number: 533
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 32 year-old female with history of systemic lupus erythematosus, depression and anxiety was admitted to the medical ward with cytomegalovirus pneumonitis and viremia. On hospitalization day 21, patient had an acute change in mental status becoming nonverbal and non-interactive with examiner. Medications at the time of incident were ceftriaxone, valgancyclovir, thiamine, prednisone […]
Abstract Number: 534
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 32-year-old woman with history of lupus not on steroid or immunosuppressive therapy for more than 10 years presented with headache, generalized weakness, abdominal pain, nausea, vomiting, and malaise. On exam, the patient was afebrile with tachycardia and hypotension. She was ill-appearing with a diffusely tender abdomen, mild hepatomegaly, and enlarged axillary and […]
Abstract Number: 545
Hospital Medicine 2020, Virtual Competition
Case Presentation: This is a case of a 22 year old female with history of systemic lupus erythematosus (SLE) complicated by lupus nephritis class III/IV, immune thrombocytopenia, coombs positive anemia, discoid lupus & seizures, who presented to the ED with a 2 week history of feeling “unwell” and a 1 week history of epigastric pain […]
Abstract Number: 559
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 43 year-old-woman with no known medical history presented with two months intermittent fever, cough, pleurisy, hematuria, and weight loss. On exam she had diffuse crackles and lower extremity edema. The patient was intubated for respiratory distress. Laboratory workup revealed acute anemia and urinalysis consistent with nephritic syndrome. Chest x-ray showed bilateral diffuse […]
Abstract Number: 566
SHM Converge 2024
Case Presentation: A 31-year-old woman, G2P1A0, 32 weeks pregnant, with a history of systemic lupus erythematosus (SLE), presented with a gradual onset of worsening abdominal wall, genitalia, and bilateral lower extremity swelling. Upon admission, the workup revealed nephrotic-range proteinuria, normal renal function, and elevated anti-dsDNA. A lower extremity ultrasound showed no evidence of deep vein […]