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Meeting
Search Results for Myopathy
Abstract Number: 637
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 47-year-old African American female with a past medical history of complex regional pain syndrome (CRPS), chronic migraines, and history of transient ischemic attack was admitted for elective lidocaine infusion for generalized pain secondary to CRPS. On hospital day four of infusion, the patient developed substernal chest pain and shortness of breath. An […]
Abstract Number: 649
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Statin-induced necrotizing autoimmune myopathy (SINAM) is an immune mediated myopathy characterized by proximal muscle weakness and necrosis in the presence of autoantibodies to hydroxyl-methyl-glutaryl-coenzyme-A (HMG-CoA) reductase. It is a rare side effect of statin use that must be recognized quickly in order to prevent the development of irreversible muscle weakness. Most cases occur […]
Abstract Number: 655
SHM Converge 2024
Case Presentation: This case report outlines the clinical course of a previously healthy 25 year old female who presented to the emergency department with a 2 week history of myalgia, high grade fever, and pain in palms and soles of her feet. Upon presentation to the patient’s local ER, her clinical condition rapidly deteriorated, and […]
Abstract Number: 656
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 36 years old female with past medical history of IV drug abuse, presented with dyspnea, nasal congestion, tactile disturbances, diarrhea, body aches and generalized weakness for 1 day. She was recently treated for tricuspid valve endocarditis. A Transthoracic Echocardiogram (TTE) obtained at that time showed ejection fraction (EF) of 55-60%. On presentation, […]
Abstract Number: 662
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 68-year old female with a history of uncomplicated alcohol dependence was brought in by ambulance after a witnessed seizure at home characterized by myoclonus for several minutes and prolonged post-ictal confusion. Upon presentation, she was altered, hypertensive to 183/118, and had a supraventricular tachycardia to the 160s broken with adenosine. The patient […]
Abstract Number: 665
Hospital Medicine 2020, Virtual Competition
Case Presentation: Patient presented to the ED in June 2019 with 6 month history of progressive proximal bilateral upper and lower extremity weakness, swallowing difficulty and 100 lbs. weight loss over 3 months. Exam was significant for decreased strength of bilateral hip flexors, knee flexors and knee extensors with intact reflexes. Labs were significant for […]
Abstract Number: 672
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 70-year-old man presented with 5 months of anasarca and recurrent chylous ascites and left chylothorax. He had symptoms of dyspnea, orthostatic hypotension, bloating, early satiety, 20-pound unintentional weight loss, anasarca, and left periorbital purpura. He was a 25 pack-year current smoker with a past medical history including type 2 diabetes mellitus, hypothyroidism, […]
Abstract Number: 678
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: We present a case of a 70 year old diet controlled hypertensive female, a New York State trained and licensed scuba diver, who presented to our emergency department with worsening headache after a rapid ascent from freshwater diving to approximately 60 feet. Patient was reportedly close to surfacing when she panicked and made […]
Abstract Number: 689
SHM Converge 2023
Case Presentation: 80 y.o. female with a history significant for hypertension and hyperlipidemia who presented to the Emergency Department for abnormal blood work. Patient had been in her usual state of health but had noticed a dark color to her urine and a yellow tinge to her eyes.On review of her blood work she was […]
Abstract Number: 701
SHM Converge 2024
Case Presentation: 65 year old female with history of rheumatoid arthritis on methotrexate and hydroxychloroquine, prior gastric ulcers on EGD, who was admitted to the hospital with bloody diarrhea, epigastric pain, acute blood loss anemia found to have duodenal ulcer. Patient received 2 units of blood products on hospitals day one and four. Course had […]