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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: D38
SHM Converge 2022
Case Presentation: An 80-year-old woman with a history of hypertension, pre-diabetes, chronic kidney disease (stage 3b), and remote ischemic stroke without residual deficits presented to the emergency department complaining of several hours of epigastric discomfort and malaise. An EKG revealed >1 mm ST segment elevation in leads V4-6 (Fig. 1). The troponin I was elevated […]
Abstract Number: D41
SHM Converge 2022
Case Presentation: A 52-year-old man with a history of hypertension and coronavirus disease 2019 (COVID-19) two months prior presented to the emergency department (ED) with five days of fever, malaise, vomiting, and diarrhea. He tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) three days prior and received monoclonal antibody infusion the day prior […]
Abstract Number: D42
SHM Converge 2022
Case Presentation: A 60-year-old African American male with a recent diagnosis of thromboangiitis obliterans (Buerger’s disease) presented with new painful penile and scrotal ulcerations in the setting of digital ischemia, palmar skin lesions, bloody diarrhea, a 50-pound weight loss, and progressive dyspnea over the past six months. No vascular etiology for ischemia was found. Labs […]
Abstract Number: E14
SHM Converge 2022
Background: Readmissions are costly to the healthcare system have been associated with low patient satisfaction scores, longer length of stay, and higher mortality. Identifying and addressing patient needs at the time of transitioning care from the inpatient to outpatient setting has the potential to reduce readmission rates. The purpose of our project was to develop […]
Abstract Number: E24
SHM Converge 2022
Case Presentation: A previously healthy 7-month-old male infant was admitted after having a new onset 10-minute seizure. He was exclusively breastfed until 2 weeks prior to admission. His mother reported decreased oral intake since switching to formula and introducing solid foods. The infant had not been taking any vitamins.Physical exam: The patient was afebrile, alert, […]
Abstract Number: E27
SHM Converge 2022
Case Presentation: An 85-year-old female with a history of non-Hodgkin’s B-cell lymphoma on Ibrutinib is brought into the emergency department (ED) by ambulance for generalized, progressive weakness and recurrent falls. She was recently diagnosed with herpes zoster 2 weeks prior, on her right upper extremity and denies being started on any medication. She complained of […]
Abstract Number: E33
SHM Converge 2022
Case Presentation: Wernicke’s encephalopathy is the presence of neurological symptoms caused by lesions in the central nervous system due to a lack of thiamine (vitamin B1). The deficiency is seen in malnutrition due to excessive alcohol, malabsorption or decreased intake. Most symptoms will improve quickly if deficiencies are repleted; however, we present the case of […]
Abstract Number: E36
SHM Converge 2022
Case Presentation: An 88-year-old woman with a history of hypertension, atrial fibrillation, and HFpEF presented with a right femur fracture following a mechanical fall. Physical exam revealed a right femur fracture and small ascites. The patient underwent a right hemiarthroplasty on hospital day (HD) 4 and received cefazolin perioperatively.On HD 9, the patient developed abdominal […]
Abstract Number: E38
SHM Converge 2022
Case Presentation: Hepatic carcinosarcoma (HCS) is an extremely rare kind of hepatic malignancy with elements of both carcinoma and sarcoma. Chronic lymphocytic leukemia (CLL), on the other hand, is the most common lymphoid malignancy in North America accounting for ~25% of leukemia cases in the United States. This is the first case report in medical […]