Session Type
Meeting
Search Results for Thrombotic Microangiopathy
Abstract Number: 683
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Atypical (complement-mediated) Hemolytic-Uremic Syndrome is a rare but life threatening thrombotic microangiopathy that affects patients of all ages. About 33-40% of patients sustain end-stage renal disease, stroke, myocardial infarction or have mortality during the first presentation of this syndrome. We present a case of a 32-year-old previously healthy male who presented to the […]
Abstract Number: 749
SHM Converge 2021
Case Presentation: A 51-year-old woman with irritable bowel syndrome presented with abdominal distention, anasarca, and altered mental status. A few weeks prior to her admission, she received an intragluteal steroid injection at another facility for recently diagnosed sciatica. On admission to outside facility, vital signs were notable for hypertension (BP 171/88). Laboratory work was significant […]
Abstract Number: 757
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: An 18-year-old female with past medical history of benign primary hypergammaglobulinemic purpura of Waldenstrom presented with an acute kidney injury, nausea, and vomiting. On admission vital signs were significant for blood pressure elevated to 154/96. Physical exam was grossly normal. Notable laboratory studies included Hgb 8.7, Plt 393, BUN 16, creatinine 1.3 (baseline […]
Abstract Number: 777
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 59-year-old African-American female presented to our hospital with fatigue, exertional dyspnea and dark cola colored urine for two weeks. She was diagnosed with RRMS in 2009 and had been taking IFN-β since then with good response and no complications. Family history was significant for colon cancer in her mother, but no hematologic […]
Abstract Number: 829
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 45-year-old woman with a history of ER-/PR-/Her2+ breast cancer previously in remission, recently diagnosed with recurrent metastatic breast cancer pathologically and on imaging, presented to the hospital with multiple days of dyspnea and dry cough. Vitals were remarkable for hypoxia and tachycardia. Electrocardiogram showed sinus tachycardia without ischemic changes. Troponin and B-type […]
Abstract Number: 954
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 48-year-old Columbian woman presented with 5 weeks of malaise, epistaxis, and hemoptysis. Physical exam was relevant for fever, conjunctival injection, hoarseness, coarse breath sounds, tachycardia, mononeuritis, trace lower extremity edema, and no stigmata of thrombotic microangiopathy (TMA). Labs were significant for a creatinine of 2.8, leukocytosis, thrombocytosis of 992×103, and microscopic hematuria. […]
Abstract Number: A35
SHM Converge 2022
Case Presentation: 39-year-old African American male presented with dyspnea and hematuria for one week. His past medical history includes stage 3 CKD and hypertension. In the emergency room he was found to be severely hypertensive with systolic blood pressures hovering around 240 mmHg. Initial laboratory tests revealed significantly elevated creatinine level from baseline and new-onset […]
Abstract Number: H25
SHM Converge 2022
Case Presentation: A 40 year-old female presented to the Emergency Department with several months of fatigue followed by acute fever and confusion. She denied weight loss, swollen glands, cough, rash, arthralgias, or myalgias. No drug or alcohol use. She was febrile to 102.5F. The remainder of the vital signs were normal, and the neuro exam […]
Abstract Number: I30
SHM Converge 2022
Case Presentation: Our patient is a 62 year-old gentleman with PMH significant for HTN, moderate-severe bilateral RAS and stage IIIa CKD who was transferred to our hospital for AKI requiring dialysis. 1 month prior to presentation, spironolactone was added to his antihypertensive medications of amlodipine, carvedilol, azilsartan and furosemide. He was in his usual state […]