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Abstract Number: 818
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A twenty-two-year-old male with unknown history was brought in with altered mental status (AMS). On exam he was lying in bed, clutching a taco sauce packet mid-air as if perpetually about to pour; he remained immobile for 10 minutes, exhibited waxy flexibility, and did not respond to questions or commands. Bush-Francis Catatonia score […]
Abstract Number: 823
Hospital Medicine 2020, Virtual Competition
Case Presentation: A-28-year-old male with history of asthma and bipolar disorder presented to our hospital with a 10-day old, painful rash on bilateral lower extremities. History was significant for flea bites that occurred a day before the rash started. The rash started off as 3/10 petichae on both legs, but over 2 days it rapidly […]
Abstract Number: 828
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 38 year old Hispanic male was admitted to the hospital with a four day history of fever, headache, shortness of breath and intermittent left forearm and abdominal rash. All signs and symptoms appeared during the administration of vancomycin and ceased after a few hours of finishing the infusion. His history was significant […]
Abstract Number: 834
SHM Converge 2024
Case Presentation: A 25-year-old male with polysubstance abuse presented with 5-days of sweats, chills, confusion, nausea, vomiting, dehydration, and anorexia in the setting of opioid detoxification. On presentation, he was afebrile, tachycardic to 115 bpm, with otherwise normal vitals. Exam revealed a tired-appearing thin man. Labs were consistent with mild dehydration. His urine toxicology screen […]
Abstract Number: 871
SHM Converge 2024
Case Presentation: Fifty-five year-old-male presented with worsening tremors associated with fever, and generalized myalgias. On examination was found to have a low-grade fever, supraventricular tachycardia with elevated troponins, and a tender left inguinal lymph node. On further examination with transthoracic echocardiogram he was found to have new moderate aortic insufficiency, with a thickened sclerotic aortic […]
Abstract Number: 892
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 60-year-old male with history of diabetes mellitus, right foot osteomyelitis, psoriasis, and multiple medication allergies (including vancomycin, levofloxacin, daptomycin, ertapenem, ampicillin-sulbactam, and infliximab) presented to the hospital with complaint of jaundice, abdominal pain, and vomiting. He had been diagnosed one week prior with methicillin sensitive Staphylococcus aureus septic arthritis and was being […]
Abstract Number: 916
SHM Converge 2024
Case Presentation: A 40-year-old man with a history of severe tophaceous gout, not currently on treatment, was directly admitted to the hospital after routine labs showed hypercalcemia (14.1mg/dL) and an elevated creatinine (4.2mg/dL). Vital signs were stable. Exam was significant for large nodules and tophi across most joints, with innumerable subcutaneous nodules embedded in the […]
Abstract Number: D31
SHM Converge 2022
Case Presentation: We present an 80-year-old female with a medical history significant for atrial fibrillation and heart failure with preserved ejection fraction. She underwent pulmonary vein isolation in 2017 and had reportedly been on flecainide 150 mg twice daily and atenolol 100 milligram twice daily since then. She presented to the emergency department with dyspnea […]
Abstract Number: F27
SHM Converge 2022
Case Presentation: A 26-year-old otherwise healthy female was prescribed trimethoprim-sulfamethoxazole (TMP-SMX) for a recurring, spontaneously draining vaginal mass below her urethra with inguinal adenopathy. 5 days after starting TMP-SMX, she developed a full-body rash, fever, myalgia, nausea, and a depressed WBC of 2.4 K/mcL. Possible drug fever was suspected and TMP-SMX was discontinued and covered […]
Abstract Number: G34
SHM Converge 2022
Case Presentation: Discussion45-year-old male with history of HIV on Antiretroviral and treated syphilis presented with painful oral lesions and difficulty swallowing which started several days after being placed on Nitazoxanide, Doxycycline, Levaquin, and Omeprazole for diagnosis of Helicobacter Pylori via Endoscopy done for diarrhea. He was given fluconazole for presumed thrush during ER visit. His […]