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Abstract Number: F47
SHM Converge 2022
Case Presentation: A 50-year-old Hispanic male with osteoarthritis on chronic steroids of unknown dose from Mexico and type II diabetes mellitus was admitted to the hospital for generalized weakness and fall with questionable loss of consciousness. Physical examination revealed verrucous and nodular lesions on his right arm, posterior neck, and left thumb, but was otherwise […]
Abstract Number: G27
SHM Converge 2022
Case Presentation: A 76 year-old woman with coronary artery disease, hypertension, and chronic kidney disease presented to the ER with a one-day history of profound generalized weakness and acute severe anemia. She had known diverticulosis and was taking aspirin 81 mg twice daily status-post a left total hip arthroplasty three weeks prior. Review of systems […]
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: K44
SHM Converge 2022
Case Presentation: A 24-year-old female with unremarkable past medical history, presented to urgent care for two days of tachycardia, chest tightness, sore throat, and fever. She was found to be in supraventricular tachycardia with a heart rate (HR) of 180 bpm. Patient received adenosine 6mg and then 12mg with improvement of HR to 140 bpm. […]
Abstract Number: O24
SHM Converge 2022
Case Presentation: A 37-year-old female with Systemic Sclerosis (SSc) presented with new-onset elevated blood pressure. She was on medium to high dose Corticosteroids (CS) a month prior to admission. Her significant vitals on admission included a heart rate of 103 and blood pressure of 193/97. Labs showed hemoglobin 9.6, sodium 130, BUN 63, creatinine (Cr) […]
Abstract Number: O42
SHM Converge 2022
Case Presentation: An 80 year old woman with a history of disseminated tuberculosis (positive TB cultures in knee wound and pulmonary cavitary lesion in 2021) presented to the emergency room for edema and erythema of her right third DIP joint. Over the past 3 weeks, she had waxing and waning orientation, reduced energy, and reduced […]
Abstract Number: 1011
Hospital Medicine 2020, Virtual Competition
Case Presentation: Hemosuccus pancreaticus, a rare cause of gastrointestinal (GI) bleeding, is defined as bleeding through the pancreatic duct into the ampulla of Vater. Bleeding usually occurs due to a ruptured pseudoaneurysm, and can be fatal, as it can be easily missed. Here we discuss a case that was discovered in time for appropriate intervention. […]
Abstract Number: 1016
Hospital Medicine 2020, Virtual Competition
Case Presentation: 46 year old male with HTN presented to our facility with frequency, difficulty urinating and dribbling. Imaging revealed urinary retention, multiple 1mm non-obstructing renal calculi, lytic lesions in the axial skeleton, and numerous cysts within the kidneys, compatible with long standing kidney disease. Despite relief of obstruction via bladder catheterization, minimal renal improvement […]
Abstract Number: 1018
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: 52-year-old male presented with six-week history of unintentional weight loss, decreased appetite and non-radiating dull suprapubic pain. Review of systems was notable for constipation, polyuria, polydipsia, nausea, and left leg swelling. No family history of cancer or blood dyscrasias. Physical examination revealed blood pressure- 194/114 mmHg, heart rate -105, distended abdomen with hypoactive […]
Abstract Number: 1030
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 67-year-old male with history of alcohol abuse and chronic hyponatremia related to beer potomania presented to hospital with nosebleed and coincidently found to have hyponatremia of 118 meq/L and hypokalemia of 3.3 meq/L. He was treated with fluid restriction, Lasix 20 mg and sodium chloride 2 gm daily. Upon outpatient follow up […]