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Meeting
Search Results for Medicine
Abstract Number: 466
SHM Converge 2023
Case Presentation: A 38 yo male with PMH of alcohol abuse, motor vehicle collision a year prior to presentation, presented to the ED with back pain. Pt states that had back pain about a year ago right after the motor vehicle collision, which improved after a month. Then in the last 4 weeks, he has […]
Abstract Number: 479
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 64 year-old woman presented with two weeks of progressive refusal to eat, weakness, and somnolence. She had two weeks of abdominal pain that was worse with eating and diarrhea with significant weight loss and generalized weakness. She also endorsed worsening depression and suicidal ideation. Per the family, she was delusional and “losing […]
Abstract Number: 498
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 47 year old female with a history of depression and remote Roux-en-Y gastric bypass surgery, presented for an elective laparoscopic gastrectomy due to hypertrophic pyloric stenosis causing complete gastric remnant outlet obstruction. Her home medications included duloxetine, pantoprazole and alprazolam. Vital signs on admission revealed blood pressure 147/83 mm Hg, pulse 80 […]
Abstract Number: 501
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 54-year-old never-smoker female with hypothyroidism and rheumatoid arthritis on etanercept presented with intermittent hemoptysis. Three days prior, she reported coughing ~100mL of frank blood and clots (Figure 1) over the course of 24 hours, with smaller volumes over the next two days (~50 mL total). She recounted a similar episode of hemoptysis […]
Abstract Number: 537
SHM Converge 2024
Case Presentation: A 43-year-old male from Guatemala with a history of alcohol abuse, brief incarceration and nephrolithiasis presented to the emergency room with abdominal pain and bloody diarrhea. He was found to have a psoas abscess and subsequently underwent radiologic aspiration and drainage of the lesion. Given the unusual intraosseous features on imaging, the patient […]
Abstract Number: 541
Hospital Medicine 2020, Virtual Competition
Case Presentation: 73 year-old Eritrean woman presented with one-month history of non-healing foot wound. While visiting Eritrea, she developed right foot edema, leading to splitting of the skin on the dorsal foot. This developed into a wound requiring hospitalization, debridement, and two week antibiotic course with ampicillin and ciprofloxacin in an Eritrean hospital. No organism […]
Abstract Number: 547
SHM Converge 2024
Case Presentation: The patient is a 52-year-old male with a history of HIV (on antiretroviral therapy), ulcerative colitis, untreated hepatitis C who presented to the hospital after several weeks of difficulty passing stools, tenesmus, and rectal pain. This was originally attributed to hemorrhoids several weeks prior to presentation, but after symptoms progressed, the patient presented […]
Abstract Number: 556
SHM Converge 2024
Case Presentation: A 69-year-old male with hypertension, prostate cancer in remission, and recent diagnosis of lymphoma presented after experiencing a fall. Prior workup for abdominal pain, fever, night sweats, and weight loss revealed splenomegaly, anemia, and diffuse lymphadenopathy. Bone marrow biopsy demonstrated malignant lymphoma with prominent follicular helper T-cell component occupying 25-30% of the sampled […]
Abstract Number: 586
SHM Converge 2024
Case Presentation: Iatrogenic pneumothorax is a usually benign complication most commonly caused by transthoracic needle aspiration, central venous catheterization, and thoracentesis, amongst other standard hospital procedures, with an incidence of 1.36% by some estimates. Here we describe a rare case of iatrogenic pneumothorax involving a dry-needling (DN) procedure.Description:A 66-year-old female with a medical history of […]
Abstract Number: 603
SHM Converge 2021
Case Presentation: A 57-year-old male with history of C5-6 spinal cord injury (SCI) presented with recurrent episodes of sweating, flushing, headache, and hypertensive episodes over the past week, with concern for autonomic dysreflexia (AD). The patient is tetraplegic following traumatic SCI 38 years ago associated with remote episodic AD due to neurogenic bladder and adynamic […]