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Search Results for TIA
Abstract Number: A13
SHM Converge 2022
Background: Confidentiality within adolescent medicine is imperative in establishing a trusting patient-physician relationship. In April 2021, the 21st Century Cures Act granted patients’ guardians immediate access to select patient electronic medical records. Whereas Pediatric Hospital Medicine (PHM) history and physical (H&P) notes are visible to guardians, adolescent sensitive notes (ASN) remain confidential. At our institution, […]
Abstract Number: A38
SHM Converge 2022
Case Presentation: 62-year-old female patient with a past medical history of psoriasis (patient was on Adalimumab for three years, then switched to Ixekizumab around eight months before current presentation), gastroesophageal reflux disease, anxiety, hyperlipidemia, and a remote history of smoking in her twenties, who presented with progressive shortness of breath of five days duration. She […]
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: B35
SHM Converge 2022
Case Presentation: 57-year-old female patient with no significant past medical history presented to the ER with a chief complaint of progressive dyspnea and lower extremity weakness for the past 3 months. Oxygen saturation was 87% on room air. Physical exam revealed bilateral crackles on lung auscultation. Bilateral lower extremities (BLE) had 3/5 strength with a […]
Abstract Number: C40
SHM Converge 2022
Case Presentation: A 41-year-old woman with a history of progressive ILD, Raynaud’s phenomenon, and Sjögren syndrome presented to ED for worsening dyspnea on exertion, malaise, fevers, chills, and body ache lasting more than 3 weeks. She had received treatment with antibiotics and a short course of steroids as an outpatient without effect. On physical exam, […]
Abstract Number: C43
SHM Converge 2022
Case Presentation: A young man presented to the ED with four days of severe, sharp midsternal chest pain, fevers, diffuse arthralgias, bilateral conjunctivitis, diarrhea, and fatigue. He reported sexual intercourse with an HIV positive male partner four months prior to presentation and a history of multiple STI’s diagnosed in the past 6 years. Vitals: 101.5F, […]
Abstract Number: L45
SHM Converge 2022
Case Presentation: A 54-year-old man with a past medical history of intravenous drug use and morbid obesity presented with worsening bilateral lower leg pain and swelling. The patient reported chronic bilateral leg edema after a car accident a year before and started noticing skin changes with multiple bumps on his legs for several months. He […]
Abstract Number: M25
SHM Converge 2022
Case Presentation: 62-year-old Caucasian female with no significant medical history presented with complaint of worsening generalized weakness, difficulty with word finding, blurred vision, left arm and leg weakness ongoing for 3-4 weeks. 3 weeks ago she was discharged from an outside hospital after evaluation for similar complaints. Since discharge had worsening weakness, and decided to […]
Abstract Number: M43
SHM Converge 2022
Case Presentation: A 24-year-old woman with no medical history presented with eight weeks of nausea, vomiting, and fevers. Six weeks prior to admission she had a positive monospot test, positive EBV IgG, and negative EBV IgM. Two weeks prior, she developed cyclical fevers, night sweats, and weight loss. She presented to the ED due to […]
Abstract Number: 1232
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 37 y/o woman with past medical history of Multiple Sclerosis, diagnosed in 2011 was seen in clinic for evaluation of a new rash. Patient reported 1 week history of a reddish-purplish, non tender rash which had a circular, lacy pattern. She noted that the rash was predominantly in her lower extremities. She […]