Session Type
Meeting
Search Results for Necrosis
Abstract Number: 553
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 56-year-old female with a history of a deep vein thrombosis (DVT) during pregnancy and dementia presented with dyspnea and acute hypoxemia. Shortly thereafter, she developed persistent fevers and acute encephalopathy. Initial testing, including lumbar puncture, chest x-ray, multiple blood cultures, urine cultures, respiratory cultures, and RPR were all unremarkable. CT head was […]
Abstract Number: 557
SHM Converge 2024
Case Presentation: Two patients developed tongue necrosis as an unusual presentation of giant cell arteritis (GCA).Case 1:A 61-year-old female presented with a one month history of painful swelling and ulceration of her tongue with weight loss. She received a punch biopsy of her tongue that showed ischemic, necrotic, and autolytic changes. After large areas of […]
Abstract Number: 558
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: We present the case of a 46-year-old male from Guyana with a history of type-2 diabetes mellitus who presented with cellulitis of his left foot. He is a rice farmer working in brakish water environments and had sustained a laceration on the left medial surface of his foot. Five days prior to admission, […]
Abstract Number: 563
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 51-year-old African-American female was admitted to the hospital with 3 days of bilateral calf pain, described as a severe cramping pain that started in the left medial calf. The patient first noticed the pain after walking two blocks. The pain did not subside with rest. The next day, the patient noticed similar […]
Abstract Number: 576
SHM Converge 2024
Case Presentation: We describe a 59-year-old male patient with a medical history of coronary artery disease, multiple sclerosis, chronic obstructive pulmonary disease, and ischemic stroke. He presented with symptoms including fever, altered mental status, and a rapid heart rate. Initial assessments revealed an elevated white blood cell count, lactic acidosis, acute kidney injury, and signs […]
Abstract Number: 583
SHM Converge 2021
Case Presentation: We introduce you to a 57-year-old woman with a past medical history of one pack per day of smoking for 20 years, and a premature history of CAD in her father. The patient presented to the emergency department with severe, pleuritic chest pain that began 4 days prior to admission. The patient described the pain as sudden […]
Abstract Number: 593
SHM Converge 2021
Case Presentation: This patient is a 74-year old male with CAD, HFpEF, HTN, Type 2 DM, CKD3, and obesity admitted for sepsis secondary to bilateral lower extremity purulent cellulitis, complicated by acute decompensated heart failure. He was started on cefepime 2 g twice daily and on vancomycin (vanco), dosed daily by level. After receiving only two doses of vanco 1g, the patient was found to have persistently elevated […]
Abstract Number: 595
SHM Converge 2021
Case Presentation: A 60-year-old female with a history of tobacco use disorder, laryngeal cancer status post chemotherapy and radiation, hyperlipidemia, and hypertension presented with tongue pain. Ten days before her presentation, she developed a small painful blister on her tongue, which was associated with difficulty eating and drinking. She decided to come to the hospital […]
Abstract Number: 623
SHM Converge 2023
Case Presentation: A 60-year-old male presented to the emergency department with a one day history of emesis, dysphagia, and odynophagia. He endorsed pain in the middle thoracic esophageal region which was worse with swallowing. Initially, his emesis was non-bloody, then subsequent episodes resulted in small amounts of bright red blood. Past medical history was pertinent for alcohol […]
Abstract Number: 654
SHM Converge 2024
Case Presentation: A 60-year-old female with no past medical history presented to the emergency department with subacute worsening right thigh swelling and pain. Her history included mild trauma to her right thigh during a recent cross-country road trip. Her physical exam showed significant swelling and tenderness to the anteromedial right thigh with palpable distal pulses […]