Session Type
Meeting
Search Results for Rheumatoid Arthritis
Abstract Number: 735
SHM Converge 2023
Case Presentation: A 49-year-old Caucasian woman presented to the emergency department with fever, shortness of breath, chest pain, and abdominal pain. She had a five-to-six-month history of intermittent bilateral arthralgias in her knees, shoulders, and wrists. Physical exam was remarkable for a positive Murphy sign. Chest CT, and CXR showed an enlarged cardiac silhouette, with […]
Abstract Number: 781
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 72-year-old man presented with several months of progressive weakness and dysphagia with a 70-pound weight loss. He was diagnosed with rheumatoid arthritis (RA) 4 months prior based on serology and synovial biopsy and was started on hydroxychloroquine. Previous work up for weight loss and dysphagia revealed a mild stricture versus delay in […]
Abstract Number: 783
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 50 year-old gentleman with seronegative rheumatoid arthritis on leflunamide presented with foreign body sensation, irritation, pain and photophobia in bilateral eyes which acutely worsened to bilateral vision loss. Funduscopic and slit-lamp examination showed crusting, moderate erythema, and edema of both eyes. Further detailed exam showed mucoid discharge, bilateral corneal infiltrates, corneal neovascularization, […]
Abstract Number: 830
SHM Converge 2023
Case Presentation: Rheumatoid myositis is often underdiagnosed due to its variable laboratory, MRI, and biopsy findings and often misdiagnosed as idiopathic polymyositis.50-year-old female with seronegative RA and vocal cord dysfunction after COVID-19 infection presented with worsening proximal muscle weakness, dysphagia, and arthritis. A few years back she had multiple episodes of bilateral MCP swelling and […]
Abstract Number: 928
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: One-year prior, the patient had left total knee replacement complicated by acute limb ischemia requiring revascularization followed by graft infection for which she was initially on caspofungin and later switched to maintenance voriconazole treatment for candida glabrata infection. Few months later she started complaining of morning stiffness and swelling in multiple joints including […]
Abstract Number: 936
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: 63 year old female with RA on methotrexate presented with a 2 week history of fevers (Tmax of 102), nausea, and multiple episodes of diarrhea. The patient denied any recent travel, sick contacts, or antibiotic use. On admission, CT abdomen/pelvis showed extensive enterocolitis as well as thrombocytopenia with platelets of 128K. Stool GI […]
Abstract Number: E25
SHM Converge 2022
Case Presentation: A 56 year old female patient with past medical history of hypertension and diabetes mellitus type 2 presents to the emergency department with a 1 day history of fever and confusion. Vitals showed a temperature of 101.4 F, heart rate at 112 beats per minute, blood pressure at 136/73. Initial lab work was […]
Abstract Number: 1079
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 28-year-old female with a known history of seropositive rheumatoid arthritis presents with a non-healing ulcer on her right ankle. She received local wound care and antibiotics for three months prior to this admission. She also complained of increasing pain and stiffness in the small joints of hands and feet as well as […]