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Search Results for Steroids
Abstract Number: 634
SHM Converge 2023
Case Presentation: 59 year-old female with past history of uncontrolled asthma with multiple exacerbations requiring systemic corticosteroids, and recurrent episodes of non-traumatic rhabdomyolysis, presented with muscle aches. On exam, patient was hemodynamically stable and afebrile, with bilateral upper and lower extremity tenderness. Laboratory analysis was concerning for elevated creatinine kinase levels of 1127 U/L. Complete […]
Abstract Number: 647
SHM Converge 2023
Case Presentation: A 43-year-old male with a history of diffuse large B-cell lymphoma (DLBCL) in remission for 2 years after chimeric antigen receptor (CAR) T-cell therapy presented to his PCP with headaches and a mild cough. A PCR COVID-19 test was positive, a head CT showed cerebral edema, and MRI had diffuse dural thickening without […]
Abstract Number: 655
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: 53-yo Male with past medical history of poly-substance abuse presented with weakness, shortness of breath and productive cough for 1 month. He also reported low-grade fever, chills, fatigue, and weight loss of 30 to 40 pounds. He had 25-pack-year history of smoking. On examination, he had bronchial breath sounds in right upper lung […]
Abstract Number: 666
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 45 year old African American male with sarcoidosis (2009 lung biopsy) was brought by EMS after an out of hospital ventricular fibrillation cardiac arrest. With ACLS, ROSC was attained after 20minutes. He had no family history of sudden death or heart disease. He did not engage in any toxic habits. Exam showed […]
Abstract Number: 690
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 71-year-old female presented to an emergency department with progressive weakness and dyspnea with dry cough for 2 weeks; she was afebrile but hypoxic, requiring 2 liters oxygen by nasal cannula. Physical examination was remarkable for diminished right lung sounds. Labs were unremarkable except for elevated C-reactive protein (194.6 mg/L). Chest x-ray revealed a dense […]
Abstract Number: 710
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 64-year-old Caucasian male with hypertension and diabetes mellitus presented to the emergency room with confusion, ataxia, and urinary retention after a 10-day cruise to Aruba. During the cruise, he developed fever, diarrhea, and a rash. After returning home, he visited a local ED and was treated with ciprofloxacin and metronidazole for febrile […]
Abstract Number: 710
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: An 84-year-old Caucasian female presented with 3 days of profuse, watery diarrhea and right knee pain. She had been hospitalized for bronchitis a few weeks ago, treated with amoxicillin-clavulanic acid and discharged. There was no history of trauma or travel. Her past medical history included CKD stage IIIa and diverticulosis. She was afebrile […]
Abstract Number: 739
SHM Converge 2021
Case Presentation: A 67 year-old male presented to the hospital with progressive weakness, lightheadedness upon standing, and intermittent chest pain. His medical history includes hypertension and chronic back pain from spinal stenosis for which he was previously on long-term prednisone. Two months prior to admission he underwent an uncomplicated lumbar fusion with discectomy after which […]
Abstract Number: 807
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 70-year-old male who presented to us with worsening dyspnea on exertion and non-productive cough. Review of systems was negative. Vitals were unremarkable; physical examination was significant for bilateral basilar rales which were corroborated by his chest x-ray that revealed bilateral pleural effusions. Laboratory findings were notable for normocytic anemia and elevated liver […]
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 […]