Session Type
Meeting
Search Results for Porphyria
Abstract Number: 533
SHM Converge 2023
Case Presentation: A 26-year-old male, recently diagnosed with Acute Intermittent Porphyria (AIP), presented with 3 days of sudden onset severe periumbilical pain exacerbated by eating. He reported 20 episodes of non-bloody emesis accompanied by bilateral facial numbness and right-sided chest pain in the 3 days prior to admission, as well as subjective fever, chills, and […]
Abstract Number: 598
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 19 yo female presented to our hospital with the complaint of lower extremity weakness and paresthesias. She had a history of episodic abdominal pain with vomiting, headaches, and paresthesias. Prior evaluations for these symptoms had led to diagnoses of fibromyalgia, migraine headaches and cyclic vomiting with erosive esophagitis. She had experienced lower […]
Abstract Number: 616
SHM Converge 2024
Case Presentation: A 22-year-old female presented with diffuse abdominal pain and a past medical history of endometriosis managed with medroxyprogesterone acetate injections. She also reported a decreased appetite and hematuria. Six months earlier she presented with similar symptoms and was diagnosed with an endometriosis flare. On this admission, the heart rate was 131 bpm, with […]
Abstract Number: 704
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 21-year-old otherwise healthy female army recruit undergoing basic training was admitted to an outside hospital with severe abdominal pain, nausea, and vomiting. An abdominal CT was unremarkable. Laboratory results revealed hyponatremia (Na 117mmol/L) and polycythemia (Hgb 17mg/dL). Patient then developed severe chest pain associated with tachycardia, hypertension and a mild troponin elevation. […]
Abstract Number: 748
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 57 year old Caucasian man with history of porphyria cutanea tarda- recently started on therapeutic phlebotomy, COPD, alcohol abuse, hypertension was admitted to the hospital with recurrent syncopal spells of one day duration. He also endorsed bilateral hand pain and weakness, weight loss, dyspnea and headache. Vital signs were stable on arrival. […]
Abstract Number: 864
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 21-year-old African American, primigravid presented at eight weeks gestation with a two-week history of progressively worsening lower abdominal and back pain, as well as intractable nausea and vomiting. Her symptoms were accompanied by tachycardia, hypertension, constipation, dark urine and blistering lesions on her lips. On exam, she was tender across her abdomen […]
Abstract Number: 880
SHM Converge 2023
Case Presentation: A 19-year-old male with history of VACTERL, end-stage kidney disease with kidney transplant 7 years prior, scoliosis with T8-L2 fusion 8 years prior, reversible posterior leukoencephalopathy syndrome (PRES), depression, and recent admission for suspected cannabinoid hyperemesis syndrome presented to the ED after a fall due to weakness, and recurrent nausea and vomiting.Physical exam […]
Abstract Number: C44
SHM Converge 2022
Case Presentation: A 22-year-old healthy female presented in April 2021 for abdominal pain during menstruation. Vital signs and workup with blood counts, metabolic, pregnancy, and sexually transmitted infection panels were unremarkable. Urinalysis showed nitrites, pyuria, bilirubin, and urobilinogen. Ultrasound and CT of the abdomen/pelvis were unremarkable. She was diagnosed with cystitis and prescribed cefuroxime. Urine […]