Session Type
Meeting
Search Results for Meningitis
Abstract Number: 895
SHM Converge 2024
Case Presentation: A previously healthy 19-year-old woman presented to the hospital for a persistent headache with photophobia, nausea, and vomiting that started one week prior. Previously, she was evaluated in the emergency department three times with a negative brain MRI with contrast as well as MRI angiography and venography. On admission, given lack of improvement, […]
Abstract Number: 895
SHM Converge 2023
Case Presentation: A 25-day old, full term male, presented to the ED with one day of decreased oral intake and a rectal temperature of 39.2ºC.In the ED, the patient was febrile to 38.6 ºC and had mottled skin with an otherwise unremarkable physical examination. Initial workup included CBC with a WBC of 3.6 10^3/uL, ANC […]
Abstract Number: 903
SHM Converge 2024
Case Presentation: A 42-year-old female with a past medical history of hereditary angioedema, hypertension, and asthma presented to the emergency department with sudden onset weakness and numbness in the right upper and lower extremities, coupled with a posterior “pressure-like” headache. On presentation, she was non-febrile, hypertensive at 169/92 mmHg with a regular heart rate (80 […]
Abstract Number: 913
SHM Converge 2024
Case Presentation: 5 59-year-old male with alcoholic cirrhosis, hypertension, COPD, and diabetes mellitus presented with a 3-month history of progressive confusion and altered mental status. His family reported memory decline, prompting multiple ER visits primarily focused on cirrhosis-related complications, overlooking the neurological symptoms’ etiology. Initial improvement following hepatic encephalopathy treatment was short-lived, leading to rapid […]
Abstract Number: 914
SHM Converge 2024
Case Presentation: 51-year-old female with a past medical history of end-stage renal disease on intermittent dialysis and a recent vitreous hemorrhage status post pars plana vitrectomy with endo-laser photocoagulation 2 days prior to admission, presented with post-operative severe bilateral eye pain, headaches, and fevers. She was diagnosed with acute angle-closure glaucoma in the left eye […]
Abstract Number: 976
Hospital Medicine 2020, Virtual Competition
Case Presentation: 62-year-old female with a past medical history of diabetes mellitus and breast cancer in remission presented to the emergency department (ED) with complaints of intermittent frontal headache for 2-3 weeks progressing to 1 day of fever, altered mentation, aphasia, and vomiting. In the ED, patient was afebrile with stable vital signs. Initial labs […]
Abstract Number: 985
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 62-year-old female with a past medical history of stroke, obesity, hypertension, and hyperlipidemia presented to the emergency department with fever and altered mental status. She was started on empiric meningitis treatment and her mentation improved dramatically with eventual return to baseline. Cerebrospinal fluid (CSF) studies from a lumbar puncture performed later during […]
Abstract Number: A44
SHM Converge 2022
Case Presentation: Pachymeningeal enhancement (PME) is a radiological phenomenon describing the enhancement of the dura and outer layer of the arachnoid meninges best appreciated on contrast-enhanced MRI. We present a case of diffuse PME in the setting of a transient ischemic attack (TIA) which has been previously unreported. An 83-year old female with a history […]
Abstract Number: A49
SHM Converge 2022
Case Presentation: A 54-year-old female with essential hypertension, hyperlipidemia, hypothyroidism and MGUS presented to Wheeling Hospital complaining of weakness, dyspnea on exertion and right lower extremity pain for two weeks. Patient was treated for a right gastrocnemius DVT, acute SARS-CoV-2 pneumonia and pulmonary emboli in right middle and lower lobe pulmonary artery branches with smaller […]
Abstract Number: K45
SHM Converge 2022
Case Presentation: 55-year-old male with past medical history of diabetes mellitus type 2, complete heart block status post pacemaker, nonischemic cardiomyopathy and Crohn’s disease was admitted for headache, loss of consciousness and seizures. Physical exam showed nuchal rigidity. Complete blood count showed mild leukocytosis. Urinalysis was benign and x-ray chest didn’t show any infiltrates. CT […]