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Search Results for PRES
Abstract Number: I29
SHM Converge 2022
Case Presentation: A 60-year-old farmer with a past medical history significant for antiphospholipid syndrome, atrial fibrillation (AF), and longstanding rheumatoid arthritis on infliximab therapy presented to the ED with weakness and dyspnea. History from family and recent rheumatology visit revealed a history of non-compliance and self-injection with livestock glucocorticoids due to self-diagnosed rheumatoid vasculitis and […]
Abstract Number: I42
SHM Converge 2022
Case Presentation: A 40-year-old Hispanic man with no past medical history presented with right thigh pain and swelling for three weeks. He had a 10 pound weight loss over the past few months. He also noted melena two months ago with recent recurrence. No recent trauma or skin infections were reported. Vital were notable for […]
Abstract Number: J31
SHM Converge 2022
Case Presentation: A 48-year-old man with a past medical history of congenital solitary right kidney, chronic idiopathic pancreatitis, pancreatectomy and islet cell transplant, splenectomy, and alcohol use disorder presented with fever, chills, and night sweats. He was bitten by a dog three days prior to presentation. Shortly after arrival, he developed septic shock with lactic […]
Abstract Number: J41
SHM Converge 2022
Case Presentation: A 46-year-old Hispanic male with a history of acute myelocytic leukemia (AML) presents with subjective fever of three-day duration after one week of induction chemotherapy with fludarabine, cytarabine, filgrastim (FLAG), and venetoclax. Otherwise, the patient denies cough, shortness-of-breath, diarrhea, abdominal pain, or dysuria. Vitals signs showed a temperature of 37.6C, pulse of 87, […]
Abstract Number: L31
SHM Converge 2022
Case Presentation: 71-year-old man with a history of atrial fibrillation, presented with four-months of fatigue, 50lb weight loss, night sweats and petechiae spreading from legs to abdomen and arms. On admission, vital signs were unremarkable. On physical exam, he had non-blanching, non-palpable petechiae extending from his lower extremities (LEs) to torso and upper extremities and […]
Abstract Number: N29
SHM Converge 2022
Case Presentation: A 44-year-old female with rheumatoid arthritis, recently started on methotrexate and infliximab presented to hospital on two occasions, one month apart, with fever, malaise, night sweats and abdominal discomfort. On both occasions she was hypotensive and pancytopenic (initial WBC 2.04 K/UL, Hbg 6.2 g/dL and Plt 131 K/UL). Both admissions were also characterized […]
Abstract Number: O41
SHM Converge 2022
Case Presentation: A 77-year-old woman with past medical history of renal cell carcinoma with known liver metastases, status post left nephrectomy who was on Tivozanib presented with acute onset speech disturbances, headache, nausea, and vomiting. Patient reported intermittent, milder headaches and confusion over the previous three weeks, coinciding with the start of Tivozanib chemotherapy. Vitals […]
Abstract Number: P29
SHM Converge 2022
Case Presentation: 20-year-old severely agitated female with history of major depression disorder and anxiety presented after ingesting up to 85 pills including escitalopram, bupropion and alprazolam. Subsequently requiring 4-point restraint due to combative behavior. Labs remarkable for hypokalemia and metabolic acidosis. UDS positive for amphetamines, benzodiazepines cannabis. However negative testing for acetaminophen, salicylates, and ETOH. […]
Abstract Number: P48
SHM Converge 2022
Case Presentation: The patient was a 73 year old gentleman with a recent diagnosis of heart failure with preserved ejection fraction presenting with weight gain, worsening dyspnea, lower extremity edema, and urinary incontinence since beginning furosemide two months previously. Labs were notable for a creatinine of 2.68 mg/dL from a baseline of 1.0 mg/dL. The […]
Abstract Number: 1029
Hospital Medicine 2020, Virtual Competition
Case Presentation: We present a 68-year-old woman who was in her usual state of health until July 2019 who presented with abdominal pain, back pain along with unintentional weight loss. Imaging revealed a mass in her pancreatic body which was confirmed with EUS and biopsy as invasive pancreatic adenocarcinoma. In late August, she presented with […]