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Abstract Number: 840
SHM Converge 2024
Case Presentation: A 19-year-old male with past medical history of well-controlled juvenile myoclonic epilepsy was transferred from a community hospital for management of acute necrotizing pancreatitis. Upon arrival, he was severely hypovolemic and hypotensive, prompting aggressive intravenous fluid resuscitation and initiation of vasopressor therapy. He became obtunded, and was intubated for airway protection. Broad-spectrum antibiotics […]
Abstract Number: 841
SHM Converge 2024
Case Presentation: A 59 year-old man with a 30 pack-year smoking history was sent to ED from retina clinic for further workup of recurrent left eye uveitis refractory to steroids. He had a 2 month history of persistent left eye central vision loss and floaters, without right eye issues or systemic symptoms. He had negative […]
Abstract Number: 844
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 25-year-old man with no past medical history presented with five days of rapidly enlarging neck mass. He recently moved from India to San Antonio and noticed an unintentional weight loss of 20 pounds over the past month with a non-productive cough, nausea and vomiting. Denies neck pain, dysphagia and fever. Physical exam […]
Abstract Number: 848
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: 63M with severe primary closed angle glaucoma, DMII, pemphigus vulgaris (PV) presents to ED with skin lesions over most body. Functional status impaired due to lower extremity edema, oral lesions resulting in odynophagia and malnutrition. PV recently diagnosed via skin biopsy on H&E stain without immunofluorescence following new blisters beginning on tongue, hard […]
Abstract Number: 852
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: 33 yo Caucasian female with a PMH of Graves’ thyrotoxicosis and recurrent acute pancreatitis was admitted for suspected pancreatitis. She presented with acute onset epigastric pain radiating to back. She denied any associated symptoms. Exam showed yellowish discoloration of skin and epigastric tenderness. Recent ultrasound was negative for cholelithiasis or gallbladder wall thickening […]
Abstract Number: 858
SHM Converge 2024
Case Presentation: A twenty-year-old male patient with no past medical history presented to the emergency department with bilateral lower extremity weakness after working in agricultural fields which had progressed over three hours to near paralysis. When the patient was first evaluated, an ECG revealed his heart rhythm to be in asymptomatic ventricular tachycardia. He exhibited […]
Abstract Number: 859
SHM Converge 2023
Case Presentation: A 41-year-old female smoker with no known past medical history presented with gradual onset dry eyes and blurry vision that progressively worsened over the course of 3 months. She developed right eye bulging with pain and diplopia. She denied other symptoms of thyroid dysfunction. Examination showed right eye proptosis, superior eyelid retraction, mild […]
Abstract Number: 861
SHM Converge 2023
Case Presentation: A 48-year-old female with a past medical history of opioid dependency and right hip arthroplasty presented with complaints of fevers and purulent drainage at her surgical site. Pertinent exam findings included fever, tenderness, and erythema on her right hip. Initial creatinine, bicarbonate, and magnesium were within normal limits. She underwent irrigation and debridement […]
Abstract Number: 862
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: 42 year old male with history of active substance abuse and multiple psychiatric diagnosis who presented with acute onset of progressive weakness and multiple cranial nerve palsies (extra ocular, facial and bulbar involvement) in the setting of recent IV and subcutaneous heroin use. Patient initially had onset of generalized fatigue, dysarthria and left […]
Abstract Number: 872
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: 26 year old male with no history of substance use, only history of hypothyroidism status post radioactive Iodine treatment three years ago for Graves’ disease presented with three days of lower limbs pain, numbness and edema which impaired ambulation. He reported he had been doing a lot of walking at a convention when […]