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Search Results for TEN
Abstract Number: A44
SHM Converge 2022
Case Presentation: Pachymeningeal enhancement (PME) is a radiological phenomenon describing the enhancement of the dura and outer layer of the arachnoid meninges best appreciated on contrast-enhanced MRI. We present a case of diffuse PME in the setting of a transient ischemic attack (TIA) which has been previously unreported. An 83-year old female with a history […]
Abstract Number: C30
SHM Converge 2022
Case Presentation: A 36-year-old male with no significant past medical history presented with bilateral facial swelling at the behest of his wife. Discharged home. Two weeks later he presented for follow up with continued swelling and new onset fevers, night sweats, a 12-pound unintentional weight loss, and dyspnea on exertion, specifically reporting difficulty ascending one […]
Abstract Number: C44
SHM Converge 2022
Case Presentation: A 22-year-old healthy female presented in April 2021 for abdominal pain during menstruation. Vital signs and workup with blood counts, metabolic, pregnancy, and sexually transmitted infection panels were unremarkable. Urinalysis showed nitrites, pyuria, bilirubin, and urobilinogen. Ultrasound and CT of the abdomen/pelvis were unremarkable. She was diagnosed with cystitis and prescribed cefuroxime. Urine […]
Abstract Number: D32
SHM Converge 2022
Case Presentation: A 64 year-old male with a history of childhood polio leading to severe kyphoscoliosis presented to our hospital with four months of progressively worsening shortness of breath and was found to be in acute hypoxic and hypercapneic respiratory failure requiring noninvasive positive pressure ventilation (NPPV). On exam, he was altered and not responding […]
Abstract Number: D33
SHM Converge 2022
Case Presentation: 66 year old male with past medical history of hypertension presented with complains of tingling sensations & weakness involving his hands for 2 weeks. His initial symptoms began with weakness involving bilateral feet, legs & hamstrings that started about 10 weeks prior to this presentation. He received moderna vaccine 1 month prior to […]
Abstract Number: F19
SHM Converge 2022
Background: Imagine opening your patients’ electronic medical record (EMR) and seeing their stories, as told by them. Would that help you understand your patients better, both their resilience and the barriers they have faced? Systemic structures of oppression and health provider unconscious bias are root causes of racial, gender and class-based health disparities. Storytelling is […]
Abstract Number: F26
SHM Converge 2022
Case Presentation: A 49-year-old man with known history of class III obesity (body mass index 43), hypertension, hyperlipidemia, and insulin dependent diabetes presented to the emergency department with bilateral lower extremity swelling and dyspnea on exertion of two weeks duration. Pertinent vitals included blood pressure 161/74 mmHg, heart rate 99 beats per minute, and saturation […]
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 […]
Abstract Number: G21
SHM Converge 2022
Background: The HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey is the first national, standardized, publicly reported survey of patient perspectives of hospital care. HCAPS scoring is tied not only to hospital compensation, but also is an important indicator of and reflection of interactions with patients. Specifically at Rhode Island Hospital, the goal […]
Abstract Number: H42
SHM Converge 2022
Case Presentation: A 30-year old woman with antiphospholipid antibody syndrome secondary to lupus with extensive arterial and venous thrombotic history presented to the emergency department with left lower extremity pain, coolness, and skin blanching for seven days. She had stopped taking her chronic anticoagulation medication two months prior to admission when she ran out of […]