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Abstract Number: 875
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: 82 year-old female with a history of hypothyroidism on levothyroxine and coronary artery disease presented with 3 months of worsening generalized weakness, inability to walk, abdominal swelling, poor oral intake and 6 kg of unintentional weight loss. Review of symptoms was negative for fever, jaundice, orthopnea, dyspnea on exertion and syncope. Vital signs […]
Abstract Number: 899
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 72-year-old Hispanic male with an unconfirmed history of alcohol-related cirrhosis presented to the hospital for rectal bleeding and dark stool for two days. Vitals included a heart rate of 90-120 bpm, blood pressure 90-140 over 50-60 mm Hg. A left thyroid nodule was appreciated on physical exam. His pertinent labs included TSH, […]
Abstract Number: 908
Hospital Medicine 2020, Virtual Competition
Case Presentation: 54-year-old male patient diabetes mellitus type II presented with pain and swelling involving small joints of bilateral hands with wrists. Synovitis involving bilateral interphalangeal, metacarpo-phalangeal were noted.Labs revealed leukocytosis to 15.7K/microL. Hemoglobin was 7.7 g/dL. Anemia work up revealed low serum iron level of 23 µg/dL, low TIBC at 167ug/dL with saturation of […]
Abstract Number: 919
SHM Converge 2024
Case Presentation: A 45-year-old female with past medical history of gastric sleeve in 2018 and follicular thyroid carcinoma status-post total thyroidectomy in 2019, resulting in hypothyroidism, is currently taking Levothyroxine 200mcg daily. Patient presented to the Emergency department with increasing fatigue for the past 3 weeks. She reported progressive shortness of breath on exertion, “loss […]
Abstract Number: 940
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 60-year-old man with a history of bilateral adrenalectomy for Cushing’s disease, who received hydrocortisone replacement (hydrocortisone 20 mg/day; 15 mg after breakfast and 5 mg in the afternoon) for 50 years, visited our emergency department with epigastric pain and palpitations. The symptoms manifested without any obvious cause when the patient was at […]
Abstract Number: A48
SHM Converge 2022
Case Presentation: A 79-year-old patient with a history of esophageal cancer status post esophagectomy six years prior with neo-esophagus creation and chemotherapy currently in remission, was admitted for upper tract gastrointestinal (GI) bleeding. An esophagogastroduodenoscopy (EGD) demonstrated several non-bleeding gastric ulcers. Given stability and resolution of the bleeding, the patient was discharged home. Later that […]
Abstract Number: B44
SHM Converge 2022
Case Presentation: A 68-year-old woman presented with a small, right-sided neck lump, without any compressive symptoms. She reported the size of the lump had been constant for 7 years and denied hyper or hypothyroidism symptoms. No known family history of thyroid, pheochromocytoma or calcium disorder was noted. Past medical history showed hypertension.Her neck examination showed […]
Abstract Number: C33
SHM Converge 2022
Case Presentation: Lupus nephritis (LN) is a clinical manifestation of SLE that can be histologically categorized from class I-VI. One form of LN that is not included in the classification is lupus podocytopathy (LP). LP is a somewhat rare manifestation of SLE associated nephrotic syndrome that mimics minimal change disease (MCD) and is diagnosed via […]
Abstract Number: E24
SHM Converge 2022
Case Presentation: A previously healthy 7-month-old male infant was admitted after having a new onset 10-minute seizure. He was exclusively breastfed until 2 weeks prior to admission. His mother reported decreased oral intake since switching to formula and introducing solid foods. The infant had not been taking any vitamins.Physical exam: The patient was afebrile, alert, […]
Abstract Number: F37
SHM Converge 2022
Case Presentation: A 76-year-old man with mantle cell lymphoma status post chemotherapy 1 week prior presented to an outside emergency department with generalized weakness. Initial laboratory workup revealed hemoglobin of 8.8 g/dL, platelet count of 3 × 109/L, creatinine 5.55 mg/dL and bicarbonate 7 mmol/L (Table 1). Rectal exam showed brown stool, however fecal occult […]